Effects of Plasma Therapy in Cutaneous Microcirculation of Different Wounds
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 240
- Locations
- 1
- Primary Endpoint
- Change in microcirculation (composite measure)
Study Overview
Brief Summary
In plastic and reconstructive surgery, treatment strategies of second-degree burns, superficial wounds, burn scars, flaps and chronic wounds aim at reducing infection and improving microcirculation. Although previous studies indicate that Plasma Therapy can accelerate wound healing, only a few studies focused on the elucidation of its mechanisms of action. Therefore, the aim of this study is to evaluate the microcirculatory effects of Plasma Therapy on second-degree burns, superficial wounds, burn scars, flaps and chronic wounds in a human in-vivo setting for the first time.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Group A (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body.
- •Group B (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size of the skin-graft donor site must not be less than 1% of TBSA.
- •Group C (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA.
- •Group D (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups A-C must be evident. No soft tissue injury must be evident.
- •Group E (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body.
- •Group F (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size of the skin-graft donor site must not be less than 1% of TBSA.
- •Group G (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA.
- •Group H (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups E-G must be evident. No soft tissue injury must be evident.
- •Group I (n=20): Consent-capable male and female patients ≥18 years of age suffering from a hypertrophic burn wound.
- •Group J (n=20): Consent-capable male and female patients ≥18 years of age suffering from a hypertrophic burn wound.
- •Group K (n=20): Consent-capable male and female patients ≥18 years of age received a flap.
- •Group L (n=20): Consent-capable male and female patients ≥18 years of age received a flap.
Exclusion Criteria
- •General exclusion criteria
- •below 18 years of age
- •wounds requiring artificial respiration, since consent for the study participation is unobtainable
- •Exclusion criteria groups A, B, D, E, F, H:
- •peripheral arterial occlusive disease
- •vasculitis
- •diabetes mellitus
- •chronic kidney or liver disease
- •cardiac dysfunction
- •arterial hypo- or hypertension
- •Anamnestic exclusion criteria
- •ongoing immunosuppressive or chemotherapy treatment
- •drug abuse
- •systemic skin diseases
- •systemic and local cortisone therapy
Arms & Interventions
Second-Degree Burn
Group A (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body.
Intervention: Plasma Therapy (PlasmaDerm)
Intervention: Plasma Therapy (PlasmaDerm) (Device)
Skin Excision (for Skin Graft)
Group B (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size of the skin-graft donor site must not be less than 1% of TBSA.
Intervention: Plasma Therapy (PlasmaDerm)
Intervention: Plasma Therapy (PlasmaDerm) (Device)
Chronic Wound
Group C (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA.
Intervention: Plasma Therapy (PlasmaDerm)
Intervention: Plasma Therapy (PlasmaDerm) (Device)
Intact Skin
Group D (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups A-C must be evident.
Intervention: Plasma Therapy (PlasmaDerm)
Intervention: Plasma Therapy (PlasmaDerm) (Device)
Second-Degree Burn (repetitive)
Group E (n=20): Consent-capable male and female patients ≥18 years of age who have sustained a second-degree burn on ≥1% and ≤30% of the surface of the body.
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)
Skin Excision (for Skin Graft) (repetitive)
Group F (n=20): Consent-capable male and female patients ≥18 years of age who require a skin excision for the purpose of a skin graft. The minimal size of the skin-graft donor site must not be less than 1% of TBSA.
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)
Chronic Wound (repetitive)
Group G (n=20): Consent-capable male and female patients ≥18 years of age suffering from a wound that has not yet healed ≥3 weeks. The minimal size of the wound site must not be less than 1% of TBSA.
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)
Intact Skin (repetitive)
Group H (n=20): Consent-capable healthy male and female probands ≥18 years of age serving as sham group. None of the the criteria of groups A-C must be evident.
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)
Hypertrophic burn scar
Group F (n=20): Consent-capable male and female patients ≥18 years of age who suffer from a hypertrophic burn scar.
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)
Intervention: Plasma Therapy (PlasmaDerm) (Device)
Hypertrophic burn scar (repetitive)
Group F (n=20): Consent-capable male and female patients ≥18 years of age who suffer from a hypertrophic burn scar.
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)
Flap
Group F (n=20): Consent-capable male and female patients ≥18 years of age who received a flap.
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)
Intervention: Plasma Therapy (PlasmaDerm) (Device)
Flap (repetitive)
Group F (n=20): Consent-capable male and female patients ≥18 years of age who received a flap.
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm)
Intervention: Repetitive Plasma Therapy (repetitive PlasmaDerm) (Device)
Outcomes
Primary Outcomes
Change in microcirculation (composite measure)
Time Frame: Baseline and 1 minute post-dose
* capillary blood flow \[arbitrary units AU\] * capillary blood velocity \[AU\] * tissue oxygen saturation \[%\] * relative postcapillary venous filling pressure \[AU\]
Secondary Outcomes
- Change in microcirculation (areolar measure)(Baseline, while and 1 minute post-dose)
Investigators
Tobias Kisch
MD
University Hospital Schleswig-Holstein
