The Effect of Replacement Frequency of Electrodes on Skin in Infant

Summary

In the Pediatric Intensive Care Unit (PICU), each child and infant is monitored to determine the status of the underlying disease by constantly monitoring the main variables, to help diagnosis and to guide treatment. During the monitoring application, electrodes of appropriate size for the patient's age and body surface are attached to the appropriate areas of the patient where skin integrity is intact, clean, and dry. It is recommended that these electrodes be replaced within 24 hours at most, but there is no evidence of the effect of electrode replacement frequency on skin moisture and integrity.

Based on this reason, this study was conducted experimentally in a randomized controlled manner to determine the effect of frequency of monitoring electrode replacement on skin moisture and condition of infants hospitalized in the PICU.

Conditions

• Infant, Premature

Interventions

PROCEDURE

Replacement every 24 hours

Processing Steps: 1. The monitoring electrodes were not replaced for 24 hours, the electrodes were removed at the end of 24 hours. During the 24-hour follow-up, patients whose electrodes were removed for any reason were excluded from the sample. 2. Immediately after the drying, skin moisture measurement was made in the right 2nd intercostal space (ICA), left 2nd ICA, and midclavicular 5th ICA regions. 3. The skin condition was evaluated from the areas monitored using the skin condition score by the researcher and another independent observer. 4. The data were recorded.

PROCEDURE

Replacement every 12 hours

Processing Steps: 1. Monitoring electrodes were removed at the end of the 12th hour. When removing the monitoring electrodes, the area was first wetted using a disinfectant and dried using a sponge after removing the electrodes. 2. Immediately after the drying, skin moisture measurement was made in the right 2nd ICA, left 2nd ICA and midclavicular 5th ICA regions. 3. The skin condition was evaluated from these areas monitored using the skin condition score by the researcher and another independent observer. 4. Monitored again. 5. Monitoring electrodes were removed at the end of the 24th hour. Cleaning and drying were done immediately after removal. 6. Immediately after drying, skin moisture was measured from the monitored areas. 7. The skin condition was evaluated from the areas monitored using the skin condition score by the researcher and another independent observer. 8. The data were recorded.

Sponsors & Collaborators

• Acibadem University

  lead OTHER

Principal Investigators

• Zehra Kan Onturk, Assist Prof · Acibadem University

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

1 Month

Max Age

12 Months

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2018-08-31

Primary Completion

2019-06-17

Completion

2019-06-17

Countries

• Turkey (Türkiye)

Study Locations