98%
921
2 minutes
20
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.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119908 | PMC |
http://dx.doi.org/10.1111/iwj.70695 | DOI Listing |
Int Wound J
June 2025
Nursing Postgraduate Program of Guarulhos University, Guarulhos, São Paulo, Brazil.
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.
View Article and Find Full Text PDFAdv 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.
J Wound Ostomy Continence Nurs
November 2024
Caroline Borzdynski, BN(Hons), RN, PhD candidate , La Trobe University, Bundoora, Victoria, Australia.
Int Wound J
July 2024
Department of Dermatology, Venereology and Allergology, Clinical Research Center for Hair and Skin Science, Charité - Universitätsmedizin Berlin, Berlin, Germany.
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.