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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| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
23 July 2025
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| In: |
Australian critical care
Year: 2025, Volume: 38, Issue: 5, Pages: 1-6 |
| ISSN: | 1878-1721 |
| DOI: | 10.1016/j.aucc.2025.101296 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.aucc.2025.101296 Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S1036731425001262 
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| Author Notes: | 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 |
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| 245 | 1 | 0 | |a Sealing efficiency and safety of a polyurethane-based fecal management system in intensive care |b results from a real-world study |c 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 |
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| 520 | |a 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. | ||
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