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Medical adhesive-related skin injuries associated with vascular access: minimising risk with Appeel Sterile

23 April 2020
Product Focus
02 April 2020
Volume 29 · Issue 8

Abstract

Vascular access device insertion is a common procedure in healthcare, and complications associated with vascular access can be serious and cause considerable patient harm. The use of care bundles to reduce the risks of these complications is well documented. However, the removal of devices, especially those associated with medical adhesive, can cause significant skin injuries, which often could be avoided if this aspect is included in the care bundle and the risk factors are better understood in healthcare. Appeel Sterile is an effective sterile silicone-based medical adhesive remover that is available in a variety of formats. It is the only sterile medical adhesive remover available, which makes it the safest choice for use with vascular access devices.

Vascular access device (VAD) insertion is a common procedure in today's healthcare setting; yet, it remains one of the most invasive procedures undertaken, with 60% of patients in the UK and 80% in the US requiring some form of intravenous access (Lavery and Ingram, 2005; Hadaway, 2012; Wallis et al, 2014) (Table 1). Despite their common use, VADs continue to be associated with a high risk for infection and other complications. One complication that is emerging as a significant risk is medical adhesive-related skin injury (MARSI) (Farris et al, 2015). This type of injury is caused by a physical or mechanical reaction of the skin associated with the medical adhesive used in film dressings, tapes and adhesive fixation devices, particularly in the removal stage of their use. These injuries can be the catalyst for complications that can start at the catheter exit site under the dressing. A catheter exit site infection can remain localised to the soft tissue, or it can migrate into the bloodstream via the catheter (Inagaki and El Feghaly, 2019).

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Vascular access device
Medical adhesive
Skin injury
Care bundle
Sterile silicone-based medical adhesive remover