Duoderm as adhesive tape?

[baby21]

Hi

We use duoderm on top of the baby's skin as a base to fix other tapes onto ie prior to intubation fixation or NG/OG tubes.

I've just been visiting a unit in Amsterdam and they have stopped using Duoderm as it induces new skin growth and they have problems with this.

Have any of you had similar problems you can share with me.

Thanks

[UTVOL3]

The only thing we use duoderm for is sometimes to kind of pad around a CPAP nasol mask. Don't know about the answer to your question but I would be interested to know.

[elizabells, BSN, RN]

Huh. We use duoderm for everything. Under NG/OG tubes, under the velcro for CPAP, I've even used it as an ostomy disc on a really small baby when even the preemie size was too large and stiff. The only thing I don't like about it is how vile and non-working it gets when wet. I haven't heard anything about new skin growth and why that would be problematic.

Do let us know what you find out.

[SteveNNP, MSN, NP]

I don't think Duoderm stimulates skin growth..... it's designed to fall off and be replaced AS skin is growing, but I don't see how it could stimulate skin cells to grow...

[RN4Little1s]

I have used duoderm for all of the above. Also put them on distractor ends when those caps fall off continuously! And when there's a dressing being changed daily or more, we put duoderm where the tape of the dressing is torn off every day.

What other solutions are there if not duoderm?

[dawngloves, BSN, RN]

It promotes skin growth on a wound by keeping the area clean and moist, but I don't see how it would grow skin over skin.

We use it under tape as well. For ETT, NG/OGs, ect. It's to prevent us from pulling skin if we need to remove the tape. Half the time you can't get the tape off and have to pull it all off, thus being counter productive. I always wait for the tape to wear itself off if we extubate or d/c an NG. I hate when my co workers pull it off when we don't need it and leave marks on the baby's face!

[RN4Little1s]

We place duoderm on the cheek and then secure feeding tubes, repogles, and NC to the face with tegaderm cut smaller. To preserve the duoderm and the baby's face, stretch the tegaderm outwards from the center and it will remove itself. The duoderm stays. No harm to baby (except the usual trauma of messing with their tubes!).

[VivaLasViejas, ASN, RN]

That's some pretty expensive "tape"...........

[lvnurs9]

The only thing I don't like about duoderm is that when it becomes wet, it can cause skin breakdown underneath it. I have seen several occasions where the baby's saliva causes the duoderm to get wet and it just sits there forever.... when you take it off to retape or something, there is breakdown underneath from it being wet for days.

[RosesrReder, BSN, MSN, RN]

We use it for all the above as well. Mostly on the chin area. Secure the tube (Replogle, NG/OG etc)- cut a strip out to chevron around it and then place a clear opsite over it.

[elizabells, BSN, RN]

That's some pretty expensive "tape"...........

Very true, but when you have a micro who bleeds from underneath her EKG leads and pretty much anywhere else you touch her, you do what you gotta do.

[preemieRNkate, RN]

The only thing I don't like about duoderm is that when it becomes wet, it can cause skin breakdown underneath it. I have seen several occasions where the baby's saliva causes the duoderm to get wet and it just sits there forever.... when you take it off to retape or something, there is breakdown underneath from it being wet for days.

Eww, and it smells like feet sometimes....