PROVIZIO® SEM SCANNER
THE DAMAGE CASCADE
International pressure injury clinical practice guideline recommendation 2.6: “Consider using a sub-epidermal moisture/ oedema measurement device as an adjunct to routine clinical skin assessment”.3
SUB-EPIDERMAL MOISTURE (SEM)
Which cannot be detected through visual skin assessment, is at the microscopic stage of damage.
New paradigm in early PI risk identification The role of sub-epidermal moisture (SEM)
• Inflammation increases vasodilation and permeability of blood vessels, leading to leakage of plasma and fluid creating sub-epidermal moisture (SEM) in the tissue.1
• SEM provides a biomarker alerting clinicians before visible damage manifests at the skin surface.2
“Why are we interested in SEM? We need to look at the damage threshold rather than the manifestation threshold – trying to understand what is happening underneath the skin before it becomes visible because once it becomes visible the damage is already there and we cannot reverse it”
PROF. MOORE, 2020 Professor and Head of the School of Nursing and Midwifery, University of Medicine and Health Sciences
Illustration adapted from Gefen A (2020)’ The SEM Scanner for Early Pressure Ulcer Detection: A 360-degree Review of the Technology. Wounds International. Vol 11, Issue 3: P22-30.
References: 1. Gefen A. The future of pressure ulcer prevention is here: Detecting and targeting inflammation early. EWMA Journal 2018, 19(2):7-13. 2.Okonkwo H, Bryant R, Milne J et al. A blinded clinical study using subepidermal moisture biocapacitance measurement device for early detection of pressure injuries. Wound Repair & Reg 2020;1-11.
3. European Pressure Ulcer Advisory Panel, National Pressure Ulcer Advisory Panel & Pan Pacific Pressure Injury Alliance. Prevention and Treament of pressure ulcers/injuries: Clinical Practice Guideline. Emily Haesler (Ed.). EPUAP/NPIAP/PPIA:2019
For more information visit
www.arjo.com/provizio
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57
