Tape Injury in the Patient with Total Hip Replacement

Blaylock, Barbara; Murray, Marty; O’Connell, Kathleen; Rex, Judy

doi:10.1097/00006416-199505000-00006

Cited by 18 publications

(11 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Blistering of skin develops when structural strain is applied to the epidermis, encouraging it to separate from the underlying dermis where it is usually tightly adherent by deep finger shaped projections [2]. There are no previous reports of traction vesicles or dermatitis following laparoscopic procedures, although similar complications are well described in orthopaedic and gynaecological surgery [3].…”

Section: Discussionmentioning

confidence: 99%

Severe wound traction-blisters after inadequate dressing application following laparoscopic cholecystectomy: case report of a preventable complication

Sanusi

2011

Patient Saf Surg

View full text Add to dashboard Cite

BackgroundThe inadequate application of postoperative dressings can lead to significant complications, including skin injuries, compartment syndromes, and potential limb loss. To our knowledge, the occurrence of post laparoscopic cholecystectomy related skin complications have not yet been reported in the peer-reviewed literature.Case PresentationFollowing laparoscopic cholecystectomy for symptomatic gallstone disease, a seventy eight year old healthy white male broke out in painful erythema on either side of his epigastric port site. Vesicles akin to a partial thickness burns were revealed upon removal of dressings. An unusual indentation created by the dressing, and skin traction by the dressing's adhesive edges were implicated, raising questions about technique of its application.ConclusionIncorrect application of wound dressings can disrupt skin architecture, causing painful blistering. This complication should not occur to patients, as it is theoretically 100% preventable. Avoidance of stretching adhesive dressings, and careful adherence to relevant manufacturers' instructions are recommended.

show abstract

Section: Discussionmentioning

confidence: 99%

Severe wound traction-blisters after inadequate dressing application following laparoscopic cholecystectomy: case report of a preventable complication

Sanusi

2011

Patient Saf Surg

View full text Add to dashboard Cite

show abstract

“…28 Tape-related skin (epidermal) stripping can occur at any age and in any clinical setting, but it is especially prevalent at the extremes of life (in the elderly and neonates). 1,16,29,30 In a 1-day prevalence audit, 8% of hospitalized infants and children were found to have tape-related skin stripping. 29 In the 2003 National Pediatric Pressure Ulcer and Skin Breakdown Prevalence Survey, the prevalence of skin stripping related to adhesive tape was reported as 17%.…”

Section: Medical Adhesiveyrelated Skin Injurymentioning

confidence: 99%

“…Use of these barrier films has been described in neonates 54 and premature infants, 57 but further research is needed. 16. Limit or avoid substances, such as compound tincture of benzoin, which increase the stickiness of adhesives.…”

Section: Consider the Role Of Skin Tension (Langer's Lines)mentioning

confidence: 99%

Medical Adhesives and Patient Safety

McNichol

Lund

Rosén

et al. 2013

Journal of the Dermatology Nurses' Association

View full text Add to dashboard Cite

Skin injury related to medical adhesive usage is a prevalent but underrecognized complication that occurs across all care settings and among all age groups. If proper technique for application and/or removal of adhesive products is not used, tissue trauma can occur, impacting patient safety and quality of life and increasing healthcare costs. Little guidance exists in the literature regarding appropriate selection and proper use of adhesive products to minimize medical adhesiveYrelated skin injury, as well as best practices for skin care preventive strategies, application and removal techniques, and assessment and treatment of such injuries. In an effort to define best practices for prevention of such injury, a consensus panel of 23 recognized key opinion leaders convened to establish consensus statements on the assessment, prevention, and treatment of medical adhesiveYrelated skin injury. The consensus summit was held in December 2012 and was made possible by an unrestricted educational grant from 3M. This document details the consensus definitions and statements and identifies research priorities for development of new adhesive technologies and protocols for skin protection.

show abstract

“…Dressings with greater extensibility are more able to accommodate changes in wound length and studies have suggested that that poorer dressing extensibility may result in increased rates of wound blistering post knee or hip arthroplasty. (Blaylock et al, 1995;Dillon et al, 2007). Currently, there are no studies available that discuss which position the knee should be placed in (in terms of flexion) when applying anterior knee dressings.…”

Section: Introductionmentioning

confidence: 99%