PURPOSE: This prospective study was conducted to determine the incidence and related characteristics of respiratory medical device-related pressure ulcers (MDRPU) in children admitted to a pediatric intensive care unit (PICU). METHODS: The participants were 184 children who were admitted to the PICU of P University Hospital from April 2016 to January 2017. Data were collected on the occurrence of respiratory MDRPU and characteristics regarding the application of respiratory medical devices. RESULTS: Respiratory MDRPU occurred in 11.9% of participants (58.3%: stage I ulcers, 37.5%: mucosal ulcers). The devices associated with respiratory MDRPU were endotracheal tubes (54.2%), high-flow nasal cannulas (37.5%), and oximetry probes (8.3%). Respiratory MDRPU associated with an endotracheal tube were significant differences according to the site and strength of fixation, the use of a bite block and adhesive tape, skin dryness, and edema. In high-flow nasal cannulas, significant differences were found according to the site of fixation, immobility after fixation, and skin dryness. CONCLUSION: The occurrence of respiratory MDRPU is significantly affected by the method and strength of fixation, as well as skin dryness and edema. Therefore, appropriate consideration of these factors in nursing care can help prevent respiratory MDRPU.
Adhesives ; Catheters ; Child ; Critical Care ; Edema ; Humans ; Incidence ; Intensive Care Units ; Methods ; Nursing Care ; Oximetry ; Pressure Ulcer ; Prospective Studies ; Skin ; Surgical Tape ; Ulcer

An 87-year-old woman was referred for the extraction of residual teeth and removal of tori prior to prosthetic treatment. After surgery under general anesthesia, the surgical tape was removed to detach the bispectral index sensor and the hair cover. After the surgical tape was removed, skin injury occurred on the left side of her face. After epidermis repositioning and ointment application, a dressing was placed over the injury. Her wound was found to have healed completely on follow-up examination. Medical adhesive related skin injury (MARSI) is a complication that can occur after surgery and subjects at the extremes of age with fragile skin are at a higher risk for such injuries. Careful assessment of the risk factors associated with MARSI is an absolute necessity.
Adhesives ; Aged, 80 and over ; Anesthesia, General ; Bandages ; Epidermis ; Female ; Follow-Up Studies ; Hair ; Humans ; Risk Factors ; Skin ; Surgical Tape ; Tooth ; Wounds and Injuries

BACKGROUND: Repair of facial laceration in the emergency department can pose a number of difficulties. Children can be uncooperative, but adults can also be if they have sustained head trauma or are intoxicated. Leukosan SkinLink consists of topical adhesive and adhesive tape that can be applied easily to long or tense wounds. In this study, the authors compared conventional suturing with Leukosan SkinLink for facial laceration patients in the emergency department. METHODS: The prospective study was carried out from March 2013 to September 2013 with linear facial laceration patients visiting the emergency department. Exclusion criteria were open fractures, joint injuries, skin defects, hairy skin, and mucosa. The author used Leukosan SkinLink for skin closure in the experimental group and used conventional suturing in the control group. The scar evaluation using the Patient and Observer Scar Assessment Scale (POSAS) along with satisfaction scores, procedure times, and complications were compared. RESULTS: A total of 77 patients (30 in the control group and 47 in the experimental group) participated and underwent follow-up for 6 months postoperatively. The scar assessment using the POSAS and the satisfaction score in both groups were similar. The average procedure time in the experimental group was shorter. In the control group, there were four cases of wound dehiscence, two of infection, and one of skin necrosis, whereas four cases of wound dehiscence and one allergic reaction occurred in the experimental group. CONCLUSIONS: With a simple application technique, Leukosan SkinLink is a new effective method for facial laceration repair especially useful for children and uncooperative adults.
Adhesives ; Adult ; Child ; Cicatrix ; Craniocerebral Trauma ; Emergency Service, Hospital* ; Follow-Up Studies ; Fractures, Open ; Humans ; Hypersensitivity ; Joints ; Lacerations* ; Mucous Membrane ; Necrosis ; Prospective Studies ; Skin ; Surgical Tape ; Tissue Adhesives ; Transcutaneous Electric Nerve Stimulation ; Visual Analog Scale ; Wounds and Injuries

At present, the existing problem in nasal feeding perfusion apparatus is laborious and instability. Designing the rolling type perfusion apparatus by using a roller pump, the problem is solved. Compared with the traditional perfusion apparatus, the advantage lies in liquid carrying only need once and simulating human swallowing process. Through testing and verification, the apparatus can be used in nasal feeding perfusion for elderly or patients.
Aged ; Enteral Nutrition ; instrumentation ; Humans ; Nose ; Surgical Tape

BACKGROUND: Buddy taping is a well known and useful method for treating sprains, dislocations, and other injuries of the fingers or toes. However, the authors have often seen complications associated with buddy taping such as necrosis of the skin, infections, loss of fixation, and limited joint motion. To our knowledge, there are no studies regarding the complications of buddy taping. The purpose of this study was to report the current consensus on treating finger and toe injuries and complications of buddy taping by using a specifically designed questionnaire. METHODS: A questionnaire was designed for this study, which was regarding whether the subjects were prescribed buddy taping to treat finger and toe injuries, reasons for not using it, in what step of injury treatment it was use, indications, complications, kinds of tape for fixation, and special methods for preventing skin injury. Fifty-five surgeons agreed to participate in the study and the survey was performed in a direct interview manner at the annual meetings of the Korean Pediatric Orthopedic Association and Korean Society for Surgery of the Hand, in 2012. RESULTS: Forty-eight surgeons (87%) used buddy taping to treat finger and toe injuries, especially proximal interphalangeal (PIP) injuries of the hand, finger fractures, toe fractures, metacarpophalangeal injuries of the hand, and PIP injuries of the foot. Sixty-five percent of the surgeons experienced low compliance. Forty-five percent of the surgeons observed skin injuries on the adhesive area of the tape, and skin injuries between the injured finger and healthy finger were observed by 45% of the surgeons. CONCLUSIONS: This study sheds light on the current consensus and complications of buddy taping among physicians. Low compliance and skin injury should be considered when the clinician treats finger and toe injuries by using buddy taping.
Adult ; Finger Injuries/*therapy ; Foot Injuries/*therapy ; *Fracture Fixation/adverse effects/methods ; Humans ; Middle Aged ; Physicians/statistics & numerical data ; Questionnaires ; Splints/*adverse effects ; Surgical Tape ; Toes/*injuries

Most intraoperative provocative tests previously reported were performed after mesh adjustment to confirm the absence of urine leakage. Instead, our test was performed before adjustment of the mesh to control the tape tension after observing the pattern of the urine leakage. We studied whether this method had an effect on the success rate of transobturator tape (TOT) procedures. A total of 96 patients were included: 47 patients underwent TOT procedures without intraoperative testing (Group I) and 49 patients underwent TOT procedures with testing (Group II). Bladder filling was performed with at least 300 ml of normal saline during the test. After observing the pattern of the urine leakage before adjustment of the mesh by coughing or manual pressure on the suprapubic area, we controlled the mesh tension. In Group I, which did not undergo the intraoperative test, the Valsalva leak-point pressure, cough leak-point pressure, preoperative and postoperative peak flow velocity (Qmax), and postvoiding residual urine (PVR) were 86.46 cmH2O, 101.91 cmH2O, 20.82 ml/s, 22.74 ml/s, 19.77 ml, and 45.98 ml, respectively. Changes in the postoperative and preoperative Qmax and PVR were 1.92 ml/s and 26.21 ml, respectively. In Group II, in which the test was applied, the corresponding results were 85.50 cmH2O, 100.45 cmH2O, 25.60 ml/s, 26.90 ml/s, 17.16 ml, and 29.67 ml, respectively. Changes in the postoperative and preoperative Qmax and PVR were 1.3 ml/s and 12.51 ml, respectively. The two groups showed no significant differences in any of the variables. In Group I, the cure and improvement rates were 70.2% and 27.7%, respectively. In Group II, the rates were 91.8% and 8.2%, respectively. Group II had a significantly higher success rate than Group I (p value= 0.011). In the univariable logistic regression analysis, Group II exhibited a higher odds ratio (4.771) than Group I in terms of cure rate, and Group II had a higher success rate than Group I (p value=0.011). In the multivariable logistic regression analysis, Group II exhibited a higher odds ratio (4.700) than Group I in terms of cure rate under calculation of the variables (namely, age, hypertension, preoperative Qmax, and PVR), and the cure rate of Group II was verified to be significantly higher than that of Group I (p value=0.019). We suggest that our test is an effective method to confirm whether adequate tension is being applied to the tape. Our method presents some advantages in that surgeons can control and adjust the tension of the mesh after observing the degree and pattern of the urine leakage.
Cough ; Humans ; Hypertension ; Logistic Models ; Odds Ratio ; Suburethral Slings ; Surgical Tape ; Urinary Bladder ; Urinary Incontinence

BACKGROUND: There are various methods of reconstruction of cutaneous surgical defect after removal of skin tumor, and skin graft is frequently used. Classically, in full-thickness skin graft (FTSG), nylon basting sutures with a tie-over bolster dressing are used in securing skin graft to the recipient wound bed, but this method is complicated, time-consuming, and may cause complications. OBJECTIVE: The aim of this study was to evaluate the usefulness of an adhesive skin tape (Steri-strip(R)) for securing a graft without suture when performing a Burow's skin graft, one of the types of FTSG. METHODS: We conducted a case-controlled retrospective study. A total of 45 patients (total 46 cases) treated with Burow's skin graft after removal of skin tumor between May 2006 and August 2010 were enrolled in this study, and grafts were secured with Steri-strip(R) (case, n=26) or conventional tie-over bolster dressings (control, n=20). The cosmetic results were scored at 1, 3, and 6 months after the operation. Also, the size and depth of the defect were measured and the run-time of the operation for the skin graft was checked. RESULTS: The operation time for the Steri-strip(R) group was significantly less than for the conventional tie-over bolster dressing group (p<0.001). No significant differences were observed between the groups with regards to age, sex, location, size, depth of the defect, prevalence of complications, and scored cosmetic results at 6 months after operation (p>0.05). CONCLUSION: Sutureless Burow's graft with skin tape required less time than the conventional method with a similar cosmetic result. Thus we suggest that sutureless Burow's graft with skin tape may be an easy and useful method to reconstruct the defect after skin surgery.
Adhesives ; Bandages ; Case-Control Studies ; Cosmetics ; Dermatologic Surgical Procedures ; Humans ; Nylons ; Prevalence ; Reconstructive Surgical Procedures ; Retrospective Studies ; Skin ; Surgical Tape ; Sutures ; Transplants

BThere are many materials which can make beautiful, clear eyelid crease with temporary effect. Double fold tape and glue are the most popular materials to make artificial double eye lids. However, the long-term use of these materials seems to make cause many local problems. This study was conducted to identify the long-term side effects of double-fold tape and glue. A total of 191 patients who have experienced double fold tape or glue were enrolled. The information of age, double-fold making product, and side effects were collected, based on medical records and, Patient & Observer scale(1: 'Normal', 5: 'Abnormal/Severe). The mean period of use was 23.7 months. The time required to make double-fold was 5~30 minutes. The most common symptom was itching sense, followed by decrease skin elasticity, skin dryness, and change of skin color. The most common signs was skin laxity, followed by eruption, keratinization, pigmentation, and local inflammation. One patient underwent medical treatment for conjunctivitis after double-fold glue usage. Double fold tape or glue can lead a problem with skin due to lack of oxygen exposure and rubbing eye lids with a stick. Appropriate use of double-fold products and careful monitoring of side effects are needed.
Adhesives ; Blepharoplasty ; Conjunctivitis ; Elasticity ; Eye ; Eyelids ; Humans ; Inflammation ; Keratins ; Medical Records ; Oxygen ; Pigmentation ; Pruritus ; Skin ; Surgical Tape

Immobilization of skin grafts on the recipient bed is essential for graft survival. There are several methods of securing skin grafts to the recipient wound bed. Classically, nylon basting sutures and a tie-over bolster dressing are commonly used. This method is currently recognized to ensure that the full thickness skin grafts "take"; however, this method is complicated and time-consuming. Moreover, suturing in this manner may also pull the edges of the skin with too much tension, cause elevation and crater-like deformity and suture marks. We experienced two cases of sutureless Burow's graft using skin tapes to reconstruct a skin defect after Moh's micrographic surgery. Instead of the conventional method, the Steri-strip(R) was used to fix the graft and a light compressive dressing with dry gauze and Tegaderm(R) was applied over the graft. This method has the advantage of being convenient to apply and remove, time-saving and inexpensive. Therefore, we recommend the use of the sutureless method using skin tape as an alternative to suturing small skin grafts, and particularly for the relatively immobile areas on the face.
Adhesives ; Bandages ; Congenital Abnormalities ; Dietary Sucrose ; Graft Survival ; Imidazoles ; Immobilization ; Light ; Mohs Surgery ; Nitro Compounds ; Nylons ; Skin ; Surgical Tape ; Sutures ; Transplants

The current author surveyed cleft treatment protocol for 15 surgeons in Korean Society of Plastic and Reconstructive Surgeon. Survey items were operative age, techniques in incomplete cleft lip and isolated cleft palate, types of preoperative orthopedics in complete cleft lip and palate, correction ages of cleft lip nasal deformity and alveolar cleft. In incomplete cleft lip only, operative age ranged 10 weeks to 6 months(most common in 3 months), and most common operative technique was modified Millard method. In isolated cleft palate, operative age ranged 8 months to 24 months(most common in 12 months), Furlow-Z plasty or push-back procedure or two-flap palatoplasty was used or combined. In unilateral complete cleft lip and palate, eleven of fifteen surgeons used preoperative orthopedics. Preoperative orthopedics started between within 1 week and 2 months. Types of preoperative orthopedics were active appliance or combined with lip adhesion, passive appliance combined with lip adhesion, and nasoalveolar molding with skin tape. The definitive cheiloplasty was done between 3 months and 7 months old. In bilateral complete cleft lip and palate, all surgeons used preoperative orthopedics, and one-stage lip repair. The operative techniques were Millard method in 6 surgeons, modified Mullikin method in 4 surgeons, modified Noordhoff method in 3 surgeons, and Veau III operation in 2 surgeons. The operative age was between 10 weeks and 6 months old. The correction of cleft lip nasal deformity was at primary cheiloplasty in 3 surgeons, age 4 to 6 in 2 surgeons, age 4 to 6 in 9 surgeons, age 4 to 6 and age 9-16 in 2 surgeons. The alveolar bone graft was done at age 9 to 11(mixed dentition period) in all surgeons.
Cleft Lip ; Cleft Palate ; Clinical Protocols* ; Congenital Abnormalities ; Dentition ; Fungi ; Humans ; Infant ; Korea* ; Lip ; Orthopedics ; Palate ; Plastics ; Surgical Tape ; Transplants