Medical Adhesive-Related Skin Injury (MARSI) Causes and Prevention

It is well known that the use of medical adhesives is associated with potential skin damage during a variety of procedural and treatment courses, including vascular access. This skin damage can present as medical adhesive-related skin injury (MARSI). MARSI prevalence was examined in a study undertaken by Farris, et. al, to determine the scope of…

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…

Reducing CLABSI and MARSI Risk Through Improved Vascular Access Dressing Integrity

Vascular Access Dressing Adherence and Hospital-acquired Infections Central venous access device (CVAD) related infections have a 12‐25% mortality in ICU populations. [1] Due to dressing disruption, central line‐associated bloodstream infection (CLABSI) may occur. The US Centers for Disease Control and Prevention (CDC) and the Infusion Nurses Society (INS) agree that vascular access device (VAD) dressing…

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…

“Stressing the Dressing: Reducing Vascular Access Device Complications”

The US Centers for Disease Control and Prevention (CDC) and The Infusion Nurses Society (INS) agree that vascular access device (VAD) dressing integrity is a critical factor for the prevention of hospital-acquired infection.1,2 Russell Nassof, JD, founder of RiskNomics, discusses the importance of common sense in evidenced-based medicine, the issue of dressing disruption, the prominence…

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…

Top 3 Reasons to Use an Adhesive Remover With Oncology Patients

This is the first of a 2-part series focusing on the importance of proper dressing removal. Skin injury happens across all care settings and among all age groups.1 When proper technique for the application and/or removal of adhesive products is not used, tissue damage can occur, which not only impacts patient safety and quality of…