Medical adhesive-related skin injury in adult intensive care unit: scoping review.
Ariana Luiza Rabelo, Jéssica Bordonal, Thays Lopes de Almeida and 2 others
PMID 36102472WHAT IT FOUND
Evidence for preventing ICU adhesive skin injuries is mostly expert opinion and observation.
Nurses can use routine skin checks, risk identification, product selection, barrier films, gentle application, and slow low-angle removal with removers.
Key findings
01Most recommendations lacked high-level evidence.
02Preventive care was grouped into skin assessment, risk identification, product selection, skin preparation, application technique, removal technique, and ongoing professional training.
03Adhesive removal should be slow, from the edges, at a low angle, in the direction of hair growth, with skin support, and removal products can be considered.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The search excluded terms associated with incontinence-associated dermatitis and friction injury, so some related skin injury evidence may be missing. The included studies did not have strong levels of evidence. The review did not identify validated care protocols for MARSI. The review did not report conflicts of interest or funding.
The easy way to misread this
Do not read these strategies as proven to reduce MARSI. The review mapped low-level evidence and did not test the interventions.