Related Experiment Video

Updated: Jan 25, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

31.2K

Risk Factors and Occurrence of Medical Adhesive-related Skin Injuries and Medical Device-related Pressure Ulcers With

Asami Akutsu1, Jun Yomogida, Rumi Tsuchiya

  • 1Department of Nursing, Jichi Medical University Saitama Medical Center, Saitama-ken, Japan.

Dimensions of Critical Care Nursing : DCCN
|January 23, 2026
PubMed
Abstract

Insights

Medical adhesive tape for endotracheal tubes can cause skin injuries. This study found medical device-related pressure injuries (MDRPIs) occurred more often than medical adhesive-related skin injuries (MARSI), with fixation time and analgesics being key risk factors.

Area of Science:

  • Critical Care Medicine
  • Dermatology
  • Nursing

Background:

  • Endotracheal tube fixation with medical adhesive tape is linked to skin injuries.
  • Medical adhesive-related skin injury (MARSI) and medical device-related pressure injuries (MDRPIs) have been studied independently.

Purpose of the Study:

  • To compare the incidence of MARSI and MDRPI following endotracheal tube fixation using medical adhesive tape.
  • To identify risk factors associated with the occurrence of these injuries.

Main Methods:

  • Prospective data collection from endotracheal tube fixation until extubation or method change.
  • Calculation of MARSI and MDRPI incidence rates.
  • Risk factor analysis using a generalized estimating equation.

Main Results:

  • Overall incidence of MARSI or MDRPI was 13% (20/153 patients).
  • MARSI incidence was 7.2% (11/153), and MDRPI incidence was 5.9% (9/153).
  • Risk factors for MARSI included fixation time, analgesics, and fraction of inspired oxygen; for MDRPI, fixation time and analgesics were significant.

Conclusions:

  • Medical device-related pressure injuries (MDRPIs) occurred more frequently than medical adhesive-related skin injuries (MARSI) with endotracheal tube fixation.
  • Common risk factors for both MARSI and MDRPI suggest a need for integrated prevention strategies.
Keywords:
Endotracheal tube fixationMedical adhesive-related skin injuriesMedical device-related pressure ulcersNursing care

More Related Videos

High-throughput Identification of Bacteria Repellent Polymers for Medical Devices10:43

High-throughput Identification of Bacteria Repellent Polymers for Medical Devices

Published on: November 5, 2016

9.5K
Rapid and Low-cost Prototyping of Medical Devices Using 3D Printed Molds for Liquid Injection Molding10:43

Rapid and Low-cost Prototyping of Medical Devices Using 3D Printed Molds for Liquid Injection Molding

Published on: June 27, 2014

20.5K

Related Concept Videos

Inhaled Medications01:23

Inhaled Medications

Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
769
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
228
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
192
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
333
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
239
Adhesion01:14

Adhesion

Adhesion occurs when one type of molecule is attracted to a different molecule. Water exhibits adhesive properties in the presence of polar surfaces, such as glass or cellulose in plants. For instance, when water is poured into a glass, the positively charged hydrogen molecules of water are more attracted to the negatively charged oxygen molecules in the silica than to the oxygen in neighboring water molecules.
Capillary action is a result of water’s adhesive tendencies. When a narrow...
43.7K