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Sealing efficiency and safety of a polyurethane-based fecal management system in intensive care: results from a real-world study

Objective - Fecal management systems (FMSs) are critical for preventing skin irritations and anal dermatitis in intensive care. A polyurethane-based system (hygh-tec® [Advanced Medical Balloons]) has been introduced in the European Union and United States. This real-world observational study aimed t...

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Hauptverfasser: Gutting, Tobias (VerfasserIn) , Brobeil, Angelika (VerfasserIn) , Strach, Lisa (VerfasserIn) , Stricker, Elisabeth (VerfasserIn) , Boxberger, Monica (VerfasserIn) , Trierweiler-Hauke, Birgit (VerfasserIn) , Heine, Clemens (VerfasserIn) , Michl, Patrick (VerfasserIn) , Luntz, Steffen P. (VerfasserIn) , Robert, Bérénice (VerfasserIn) , Göbel, Fred (VerfasserIn) , Weis, Christiane (VerfasserIn) , Pfützner, Anreas (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 23 July 2025
In: Australian critical care
Year: 2025, Jahrgang: 38, Heft: 5, Pages: 1-6
ISSN:1878-1721
DOI:10.1016/j.aucc.2025.101296
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.aucc.2025.101296
Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S1036731425001262
Volltext
Verfasserangaben:Tobias Gutting, MD, Angelika Brobeil, CNS, BBA, Lisa Strach, CNS, Elisabeth Stricker, CNS, Monica Boxberger, MD, Birgit Trierweiler-Hauke, CNS, Clemens Heine, CNS, Patrick Michl, MD, Steffen Luntz, MD, Bérénice Robert, MSc, Fred Göbel, MD, Christiane Weis, MSc, Anreas Pfützner, MD
Beschreibung
Zusammenfassung:Objective - Fecal management systems (FMSs) are critical for preventing skin irritations and anal dermatitis in intensive care. A polyurethane-based system (hygh-tec® [Advanced Medical Balloons]) has been introduced in the European Union and United States. This real-world observational study aimed to evaluate the sealing efficiency and safety of the system in routine care. - Methods - Thirty-nine patients were included in the descriptive analysis (18 females and 21 males; mean age: 66.4 ± 10.5 years; body mass index: 28.8 ± 11.7 kg/m2). Intensive care nurses documented findings related to sealing efficiency, anal lesions, and adverse events during their shifts. - Results - Sealing efficiency was assessed from 1110 shift reports. The mean device usage duration was 10.8 days (range: 3-31 days). No visible perianal contamination was noted in 76.0% of shift reports (n = 844). Relevant leakage was documented in 10.7% of cases and was independent of body mass index, anal sphincter muscle tone, and reason for admission. Stool consistency and patient vigilance had minimal influence. There were no device-related adverse events, and the incidence of anal lesions was 0.8% over 31 days of use. - Conclusion - The polyurethane-based FMS demonstrated excellent sealing efficiency, tolerability, and safety. Controlled studies are needed to confirm these findings and evaluate economic implications. FMSs can improve both work quality and patient safety.
Beschreibung:Gesehen am 04.12.2025
Beschreibung:Online Resource
ISSN:1878-1721
DOI:10.1016/j.aucc.2025.101296

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