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Transcutaneous Microcirculatory Imaging in Preterm Neonates
Published on: December 31, 2015
Transparent Film Dressing Versus Microporous Paper Tape for Temperature Probe Fixation in Preterm Neonates: A
Aditya Hemendra Bhatt1, Dipen Vasudev Patel1, Mayur Kiran Shinde2
1Department of Neonatology, Pramukhswami Medical College, Shree Krishna Hospital, Bhaikaka University, Karamsad, Anand, Gujarat, India.
Microporous paper tape and transparent film dressing showed similar overall skin damage rates in preterm neonates. However, paper tape increased skin dryness, while erythema and breakdown were comparable between the two fixation methods.
Area of Science:
- Neonatal Intensive Care
- Dermatology
- Medical Device Technology
Background:
- Neonatal skin is delicate and prone to damage from medical adhesives.
- Transparent film dressings and microporous paper tapes are commonly used for securing devices like temperature probes in preterm infants.
- Choosing the right dressing is crucial for preventing adverse skin reactions.
Purpose of the Study:
- To compare the incidence and severity of skin damage between transparent film dressing and microporous paper tape for temperature probe fixation in preterm neonates.
- To evaluate specific skin reactions such as dryness, erythema, and breakdown.
Main Methods:
- A randomized controlled trial involving 128 preterm neonates requiring radiant warmer care.
- Participants were assigned to either transparent film dressing or microporous paper tape for temperature probe fixation.
- Skin integrity was assessed using the Neonatal Skin Condition Score (NSCS), evaluating dryness, erythema, and breakdown.
Main Results:
- Overall skin damage incidence was similar between groups (64.1% vs. 59.4%, P=0.585).
- Microporous paper tape group showed significantly higher rates of skin dryness (54.7% vs. 31.3%, P=0.007).
- Incidence of erythema and skin breakdown did not differ significantly between the two dressing types.
Conclusions:
- The overall incidence of skin damage is comparable when using transparent film dressings or microporous paper tape for temperature probe fixation in preterm neonates.
- Microporous paper tape is associated with a higher risk of skin dryness compared to transparent film dressings.
- Erythema and skin breakdown rates are similar between the two methods, suggesting careful monitoring for dryness is important with paper tape.
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