Surgical tape burns, also known as Medical Adhesive-Related Skin Injury (MARSI), are common skin irritations that can occur after medical procedures requiring tape application. While usually not serious, these irritations can cause discomfort and impact the skin’s healing process. Understanding how to manage and prevent them is helpful.
Understanding Surgical Tape Burns
Surgical tape burns manifest as skin damage from medical adhesives. This can happen due to various factors, including the adhesive itself, friction, or moisture trapped beneath the tape. Some individuals may also experience an allergic reaction to certain components within the tape.
These skin reactions present as redness or a rash in the taped area, often accompanied by an itching or burning sensation. The affected skin might also feel warm to the touch. Small bumps, blisters, or even peeling skin may appear once the tape is removed. If the skin becomes white or gray and wrinkled due to moisture, this is known as maceration, which can make the skin more fragile. Skin stripping, where the tape removes the outermost layer of skin, can also occur, especially if the tape is removed carelessly.
Immediate Home Care
When a surgical tape burn occurs, gently remove the tape. Clean the affected area with mild soap and warm water, gently patting the skin dry. Keeping the area well-ventilated is beneficial.
Apply a cool compress or a clean, wet cloth to the irritated skin to reduce pain and swelling, with applications lasting about 10 minutes. Once the skin is clean and dry, apply a soothing, hypoallergenic moisturizer or petroleum jelly to calm and hydrate the skin. Over-the-counter hydrocortisone cream may reduce inflammation, but consult a healthcare provider before applying any new products.
Avoid scratching the irritated area, as this can introduce bacteria and lead to infection. If a dressing is still needed, use sterile gauze secured with latex-free, non-reactive tape on the gauze itself, rather than directly on the skin. For pain relief, over-the-counter medications like ibuprofen can be used.
When to Seek Medical Attention
While many surgical tape irritations are minor and resolve with home care, certain signs indicate the need for professional medical evaluation. If you observe signs of infection, such as pus, increasing redness, warmth, or fever, contact a doctor. Severe pain that does not improve, large blisters, or a rash spreading beyond the taped area also warrant medical attention.
If the skin irritation does not improve after a few days of consistent home care, consult a healthcare professional. Medical advice can prevent complications and ensure proper healing.
Preventing Future Burns
Preventing surgical tape burns involves selecting appropriate tapes and using proper application and removal techniques. Opt for hypoallergenic, paper, or silicone-based tapes, as these are gentler on sensitive skin and minimize irritation. These are beneficial for individuals with a history of skin reactions.
When applying tape, ensure the skin is clean and dry. Apply the tape smoothly without excessive tension or stretching, pressing firmly for full contact without wrinkles or air pockets. This helps prevent skin stripping and blistering.
For removal, peel the tape slowly and gently, pulling it parallel to the skin surface rather than lifting it upwards. Support the skin at the peel line with one finger to reduce trauma. Medical adhesive removers, oil-based solutions (like coconut or olive oil), or a warm compress can soften the adhesive, making removal less painful and reducing the risk of skin damage. Barrier wipes or sprays can also be applied to the skin before taping to create a protective layer.