Effect of Different Materials Used in Orogastric Tube Removal on Skin Condition in Premature Babies

Ondokuz Mayıs University86 enrolled

Overview

While medical adhesives provide fixation of devices and catheters in neonatal intensive care, problems such as disruption of skin integrity are frequently encountered when removed. The study aims to compare the effectiveness of sunflower oil and silicone-based remover spray used during the removal of medical adhesives used in oragastric catheter fixation in preterm babies in the Neonatal Intensive Care Unit in preventing skin damage.

Use of materials such as an endotracheal tube, orogastric catheter, nasal cannula, and peripheral vein catheter, which are frequently used in neonatal intensive care. Medical adhesives are needed for fixing. While medical adhesives provide fixation of devices and catheters in neonatal intensive care, problems such as disruption of skin integrity are frequently encountered when removed. Many materials are being tested and developed in clinics to reduce this risk.Skin barrier products minimize trauma in the removal of medical adhesives by creating a protective layer between the epidermis and the adhesive. Silicone-based spray removers, one of the skin barrier products, are used in the entire patient population, including newborns.Silicone-based spray removers leave residue on the skin as they evaporate easily. doesn't let go. Since it does not contain alcohol, it does not cause pain. Sunflower oil is a traditional method for premature When used in baby massage applied to babies, it increases the weight gain and height growth of babies and reduces the morbidity rate.The study aims to compare the effectiveness of sunflower oil and silicone-based remover spray used during the removal of medical adhesives used in oragastric catheter fixation in preterm babies in the Neonatal Intensive Care Unit in preventing skin damage.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Neonatal Skin Conditions

Interventions

Sunflower oilOTHER

In the experimental group, patch removal will be performed using sunflower oil.

Slicone based sprayOTHER

In the control group, clinical routine procedure will be used to remove the patch (silicone based spray.

Eligibility

Sex: ALLMin age: 32 WeeksMax age: 36 WeeksHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Babies born between 32-36 gestational ages * Babies admitted to Neonatal Intensive Care * Babies who have not had medical adhesive tape applied to their lips before * Babies who do not have any skin diseases * Noninvasive Mechanical Ventilation or Free Ventilation in the Intensive Care Unit * Babies who need oxygen * Babies who do not have any obstacle to inserting an oragastric catheter Exclusion Criteria: * Babies followed intubated in care * Babies with any skin disease * Babies with a disease that is not suitable for oragastric catheter insertion * Babies for whom medical adhesive should not be applied on the lips

Locations (1)

Hatice Uzşen

Samsun, Atakum, Turkey (Türkiye)

Outcomes

Primary Outcomes

Neonatal Skin Condition Score

It is used to evaluate the skin condition of premature, healthy or sick newborns. The scale consists of three parts, each section has an evaluation section. These sections are respectively; dryness, erythema and disruption of skin integrity/peeling. Each section is scored between 1 and 3 on the scale developed as a three-point Likert scale. is taking. The lowest score at the end of the scale is 3 and the highest score is 9. The higher the score, the worse the skin condition.

Time frame: immediately after removing the patch of the orogastric tube and 1 hours later.

Data from ClinicalTrials.gov

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