Evidence map›Paper›PMID 40950560›Full record

ReviewJournal of multidisciplinary healthcare2025

Summary of the Best Evidence for the Prevention and Management of Medical Adhesive-Related Skin Injuries in Patients with Tracheal Intubation.

Minhua Hu, Jiajia Hu, Peng Sun, Hongyan Zheng, Mingyang Zhang

Abstract readReview
In one paragraph

Review in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Minhua HuThe First Department of Surgical Anesthesiology, Zhongshan People's Hospital, Zhongshan, Guangdong, 528403, People's Republic of China.
Jiajia HuThe First Department of Surgical Anesthesiology, Zhongshan People's Hospital, Zhongshan, Guangdong, 528403, People's Republic of China.
Peng SunThe First Department of Surgical Anesthesiology, Zhongshan People's Hospital, Zhongshan, Guangdong, 528403, People's Republic of China.
Hongyan ZhengThe First Department of Surgical Anesthesiology, Zhongshan People's Hospital, Zhongshan, Guangdong, 528403, People's Republic of China.
Mingyang ZhangThe First Department of Surgical Anesthesiology, Zhongshan People's Hospital, Zhongshan, Guangdong, 528403, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this study was to summarize the best evidence for the prevention and management of medical adhesive-related skin injury and to provide a scientific basis for the facial skin care of healthcare professionals and patients undergoing tracheal intubation. Methods: Following the "6S" pyramid model, the literature on the prevention and management of adhesive-associated skin lesions was searched from top to bottom of the guideline website, relevant professional association websites, and Chinese and English databases. The time frame of the search was from the creation of the repository to August 10, 2024. Evidence consolidation was completed in September 2024. The quality of the included studies was assessed, and key evidence was extracted and summarized. Results: One guideline, five expert consensus reports, three evidence summaries, one cohort study, and two randomized controlled trials were included. Finally, 30 key evidence items were extracted from 7 areas: risk factor identification, skin assessment, selection and use of medical adhesives, skin care, use of skin protection products and removers, pain management, and education and training. The evidence base is characterized by a high proportion of expert consensus (Level 5, 20%) and case-series evidence (Level 4, 60%), reflecting the current lack of robust RCTs in MARSI prevention for intubated patients. However, 73.3% of recommendations carry Grade A strength, supported by either consistent expert consensus or at least one high-quality RCT, providing a solid foundation for clinical implementation. Future research should prioritize large-scale RCTs to validate interventions in diverse populations. Conclusion: The best evidence for the prevention and management of medical adhesive-associated skin breakdown summarized in this study can be used as a scientific reference for practical nursing care and provide direction for healthcare teams as well as for the care of the facial skin of patients undergoing endotracheal intubation.

Indexed as

evidence-based careevidence summaryMARSImedical adhesivemedical adhesivespreventionskin injuriesskin tears

Identifiers

PMID40950560
PMCPMC12423774

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.