The rate of early erythema on the skin of newborns to progress to pressure injuries or other more serious injuries is much faster than that of adults. Skin redness, temperature changes, or pain may all be early manifestations of skin damage. The damage may cause partial and full-thickness skin damage, which can lead to serious wounds.
In clinical practice, medical staff need to follow special practices when dealing with neonatal wounds to minimize skin damage and ensure the prognosis of children. However, a variety of mixed factors may still cause skin damage in infants and young children.
Skin damage in newborns. Main risk factors:
• Low weight
• Long hospital stay
• Long indwelling time of central venous catheter
• Mechanical ventilation and continuous pressure support
• The rate of iatrogenic skin damage at gestational age 24-27W is 57%, and that of full-term infants is 3%
• Neonatal skin injuries are easy to form scars after being discharged from the hospital
• Infiltration/chemical damage/skin peeling/vascular access
In addition, the outermost skin (stratum corneum) of full-term infants is 10-20 layers thick, while preterm infants may have less than 2 layers. This means that the skin of premature babies is more susceptible to damage, and key functions may be defective, such as preventing the loss of water and the absorption of toxic substances.
One of the most common main causes of injury among the above factors is the long time of paper glue sticking, especially for children in radiant bed, blue light box and warm box. Such as causing skin damage in children. When using a ventilator and nasal congestion type continuous positive airway pressure, the child is very ill, the paper glue sticks for a long time, and the scope is large, and skin allergies and even avulsion are prone to occur.
Therefore, among external factors, the probability of infant skin damage caused by tape is extremely high. Choosing a special tape for infants and young children can effectively avoid the occurrence of multiple skin damage events.
How to choose infant tape?Choosing the right tape, it is better to clarify the problem directly as: What kind of glue should I choose so as not to hurt the skin?
Common clinical tapes include non-woven tape (paper glue), PE tape, silk tape, zinc oxide tape, etc. The common feature of these tapes is that they have high adhesive strength and are used as external fixation for catheter fixation and dressings. The main performance requirements are it is to ensure its initial viscosity and long-lasting viscosity.
Used for adults (not people with fragile skin) generally will not have skin avulsion injuries. However, the skin of infants and young children is too delicate, and the viscosity of the above-mentioned tape still has potential damage, especially if it is pasted for a long time, it will not only make the skin more easily damaged when it is torn off, but the glue may also remain on the skin and be difficult to remove, leaving black dirt.
"Satisfying viscosity and soft and skin-friendly"
"Tear off painless and can be pasted repeatedly"
It is a tape dedicated to the skin of young children and infants: silicone gel tape
The main purpose of this tape developed by Zhejiang Longterm Medical is to greatly reduce the unnecessary skin damage of clinical infants and young children. The balance between the adhesive strength and soft peeling of the gel not only guarantees effective initial tack and stickiness, but also ensures the soft and painless effect of peeling even after long-term use, and does not leave any residual glue.