ETT holders

[Michelle S]

Kim,  that is awful about the preemie skin tear - it's obvious that your staff was not properly inserviced on the removal AND emergency removal of the neobar.  In an emergency, it is very simple to just cut the thin plastic parts on either side right next to the adhesive and the plastic bar will come right off without ripping the skin - then when the emergent part is over you can use sterile water to easily loosen the 'skin friendly' hydrocolloid based adhesive on the face.  If you look at the NANN skin care guidlines it specifically says NOT to use benzoin, adhesive remover or alcohol on any premie or newborn skin.  We'd love to provide additional training or inservices to your staff or your unit if you still use the Neobars.  I can also send a copy of the skin care guidlines your way if you are interested. Please contact me if I can be of further assistance.  Sorry about the misinformation (that's what I meant by 'learning curve' to the neobars.....)
-Michelle Scilingo flight RN
AirEvac Services, Phoenix, AZ
NeoTech Products clinical educator.