Mechanical Circulatory Support: The Importance of Driveline Exit Site Care

Mechanical Circulatory Support to Manage Heart Failure Heart failure is a significant cause of morbidity and mortality that affects approximately 26 million patients worldwide, with rates continuing to climb.¹ Mechanical circulatory support (MCS) is an intervention to manage heart failure, often serving as bridge to transplantation (BTT) by providing acceptable quality of life for patients…

Text: Adhesive removal matters: protecting skin integrity

Adhesive Removal Matters: Protecting Skin Integrity

Adhesive Products are Common in Healthcare Adhesive products are staples of patient care. Inpatients are commonly exposed to a variety of adhesive products throughout their treatment duration. A study by Farris, et. al found that the median number of products per subject was 6.25 for patients in a cardiac‐telemetry unit and 3.0 for patients in…

Vascular Access Care & Maintenance: Avoid MARSI during Dressing Changes

In our previous blog, “MARSI Guidelines on Safe Adhesive Removal,” we discuss the one often overlooked hospital acquired condition (HAC) is medical adhesive related skin injury (MARSI). Its prevention should be on every institution’s radar. In this video, Jack LeDonne, MD, FACS, VA-BC, features a case example of mechanical skin injury related to the removal of…

Stories from the Community Meet Isabelle Edwards: Type 2 Diabetes & Gastroperisis Warrior

Isabelle Edwards is known across the internet as the Diabetes Diva, and if you ever have the privilege of meeting her, you will understand why! Isabelle lives with Type 2 Diabetes, but her enthusiasm for life, her kindness, and her glamour are what you remember after spending time with her. She is a fierce advocate…

Stories from the Community Meet Emily Levy: Lyme disease, POTS, CIDP, and Hashimoto’s Warrior

When Emily Levy was a sophomore in college, she was diagnosed with neurological Lyme disease and required a PICC to facilitate her treatment. This PICC was the first of many vascular access devices Emily has depended on and, unfortunately, Lyme was only the first of many diagnoses to come. Despite facing long term illness and…

MARSI Guidelines on Safe Adhesive Removal

Since the “pay for performance” era began, hospital acquired conditions (HAC) have deservedly received a great deal of attention from hospitals, healthcare providers, payors, patients and families. For critical medical devices that pose danger to patients if they are dislodged [like vascular access devices, (VADs)], safety requires proper securement. Poor securement of VADs increases the…

Evidence-Based Decision Making for the Prevention of Catheter-Related Bloodstream Infections and Medical Adhesive-Related Skin Injuries

While catheters provide numerous benefits to their users, there can be a health burden associated with their use, as they may promote catheter-related bloodstream infection (CRBSI*) and medical adhesive-related skin injuries (MARSIs). A publication reviewing the qualitative and quantitative evidence supporting the use of Detachol® Liquid Adhesive for the reduction of CRBSI and MARSI can…

LVADs: Minimizing Driveline Infections at Home

The previous blog of this 2‐part series focused on Left Ventricular Assist Devices (LVADs), including the prevalence of use, the types of patients treated, and the associated risks of LVAD‐associated infections. (View Blog 1 of 2) Part 2 of the series will focus on minimizing driveline infections once the patient goes home. LVADs have revolutionized…

3 Important Scar Management Guidelines

You may remember in the last blog, the considerable number of surgeries performed annually in the US was presented (51.4 million)1, along with the lack of patient satisfaction of scarring after surgeries. Data reviewed revealed that there was a significant amount of patient dissatisfaction with scarring after routine surgeries. Statistics showed that 91% percent of…