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Related Concept Videos

Ostomy Care01:24

Ostomy Care

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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
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Tracheostomy Care II: Procedure01:25

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Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
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Related Experiment Video

Updated: Dec 25, 2025

Thin Film Composite Silicon Elastomers for Cell Culture and Skin Applications: Manufacturing and Characterization
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Developments in silicone technology for use in stoma care.

Thomas Swift1, Gillian Westgate2, Julie Van Onselen3

  • 1Lecturer in Polymer Chemistry, University of Bradford.

British Journal of Nursing (Mark Allen Publishing)
|March 25, 2020
PubMed
Summary

Novel silicone technology manages moisture in stoma appliances, reducing skin damage and improving wear time. This innovation aims to decrease peristomal skin complications like medical adhesive-related skin injury and moisture-associated skin damage.

Keywords:
Medical adhesive-related skin injuryMoisture managementMoisture-associated skin damageSiliconeTransepidermal water loss

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Area of Science:

  • Biomaterials Science
  • Dermatology
  • Medical Device Technology

Background:

  • Soft silicone is widely used in therapeutic devices due to its favorable properties.
  • Silicone is utilized in wound care and stoma accessories, but not traditionally in stoma appliance flanges due to moisture management limitations.
  • Conventional hydrocolloid appliances can lead to skin damage through saturation and issues during removal.

Purpose of the Study:

  • To introduce and evaluate novel silicone compounds for stoma appliance flanges with an evaporation-based moisture management system.
  • To address limitations of traditional hydrocolloid stoma appliances concerning moisture management and skin integrity.
  • To reduce peristomal skin complications such as medical adhesive-related skin injury (MARSI) and moisture-associated skin damage (MASD).

Main Methods:

  • Development of novel silicone compounds with a unique colloidal separation mechanism for moisture vapor transmission.
  • Application of this technology in prototype silicone-based stoma appliance flanges.
  • Evaluation of the new silicone's performance in moisture management, wear time, and ease of removal.

Main Results:

  • The novel silicone compounds facilitate moisture vapor passage equivalent to normal trans-epidermal water loss.
  • This evaporation-based mechanism minimizes moisture-associated skin damage (MASD).
  • The new technology shows potential for increased appliance wear time and atraumatic removal without solvents.

Conclusions:

  • Novel silicone-based stoma appliance flanges offer an advanced moisture management solution.
  • This technology is expected to significantly reduce peristomal skin complications, including MARSI and MASD.
  • The innovation holds promise for improving patient quality of life, increasing appliance wear time, and reducing healthcare costs.