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Article Abstract

Understanding skin microclimate-the temperature and humidity at the interface between the skin and other surfaces-is critical for preventing pressure injury (PI). This prospective case series evaluated the performance of a hydrofibre multilayer foam dressing with silicone coating in managing the sacral microclimate in intensive care patients with intact skin at high PI risk when used with a standard PI prevention protocol. Sacral temperature and humidity were measured using a thermographic imaging camera and electrical bioimpedance device, respectively. These data were collected daily for a maximum of 7 consecutive days. Data of 25 patients were analysed. The mean sacral humidity during the first 4 days of dressing use was 20.7%. Its levels reduced on Days 5 and 6 and later returned to Day 2 levels on Day 7. The sacral temperature showed no sudden change with dressing use. Correlations between sacral microclimate and smoking, alcohol, systemic arterial hypertension, and diabetes mellitus were determined. There was no evidence of PI among the participants during the 7-day follow-up. The hydrofibre multilayered foam dressing with silicone coating effectively managed the sacral microclimate in high-risk intensive care patients, highlighting its potential utility in PI prevention protocols.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119908PMC
http://dx.doi.org/10.1111/iwj.70695DOI Listing

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Understanding skin microclimate-the temperature and humidity at the interface between the skin and other surfaces-is critical for preventing pressure injury (PI). This prospective case series evaluated the performance of a hydrofibre multilayer foam dressing with silicone coating in managing the sacral microclimate in intensive care patients with intact skin at high PI risk when used with a standard PI prevention protocol. Sacral temperature and humidity were measured using a thermographic imaging camera and electrical bioimpedance device, respectively.

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Effects of Heat and Pressure Loading on Erythema and Skin Microclimate at Pressure-Prone Areas of Semirecumbent Healthy Adults.

Adv Skin Wound Care

March 2025

At La Trobe University, Bundoora, Australia, Caroline Borzdynski is PhD Candidate; Charne Miller, PhD, is Senior Lecturer; and Bill McGuiness, PhD, MSN is Adjunct Associate Professor. The authors have disclosed no financial relationships related to this article. Submitted August 10, 2023; accepted i

Background: Altered localized microclimate conditions are known to increase the risk of pressure injuries in immobile patients. Limited in vivo studies have examined how skin properties change over time and under different skin microclimate conditions.

Objective: To examine changes in erythema, stratum corneum hydration, and skin temperature in response to an altered microclimate, simulated by the introduction of heat, at the skin-support surface interface of semirecumbent healthy adults.

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Effects of Skin Microclimate Changes on Skin Condition in Healthy Adults.

J Wound Ostomy Continence Nurs

November 2024

Caroline Borzdynski, BN(Hons), RN, PhD candidate , La Trobe University, Bundoora, Victoria, Australia.

Article Synopsis
  • This study aimed to investigate how moisture affects skin conditions (erythema, hydration, and temperature) at pressure-prone areas of healthy adults, focusing on the skin's interaction with supporting surfaces.
  • Conducted in a controlled hospital-like setting with 48 participants, the study involved a 60-minute protocol of immobilization with intermittent pressure relief, using a moistened absorbent pad on the sacrum while measuring skin responses.
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Article Synopsis
  • Prolonged pressure on the skin and soft tissue can lead to pressure ulcers, making it essential to use special support surfaces for prevention.
  • This study compared the effects of lying on two types of support surfaces—one with a coverlet designed to help manage heat and moisture—on skin responses and comfort after 2.5 hours.
  • Results showed that while skin temperature and moisture levels increased at both the sacral and heel areas, there were only slight differences in overall skin responses between the two support surfaces, with saline simulation exacerbating the effects.
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Exploring body morphology, sacral skin microclimate and pressure injury development and risk among patients admitted to an intensive care unit: A prospective, observational study.

Intensive Crit Care Nurs

April 2024

School of Nursing, Midwifery and Social Work, The University of Queensland, Level 3, Chamberlain Building, The University of Queensland, Brisbane QLD 4072, Australia; Intensive Care Services, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, QLD 4029, Australia; Institute for Skin In

Objective: To determine the association between body morphology, sacral skin microclimate and their impact on the development and risk of pressure injuries among patients in an intensive care unit.

Methodology: A prospective observational exploratory study was conducted over 30 weeks. Repeat study observations occurred multiple times a week for 28 days or until discharge.

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