Burns Clinical Trial
Official title:
Clinical Trial for Therapeutic Effect of Wireless Micro Current Stimulation Under Objectification of Combustion Depth by Laser Doppler Imaging in Children and Adolescents With Deep Dermal Burns and Scald Injuries
This study will determine the effect of the wireless micro current stimulation in pediatric deep dermal burns and scald injuries. The clinical trial ist designed as a blinded, placebo-controlled, randomized, prospective, single-center study.
Patients (m / w) aged 0-17 years with scalding and burning injuries will initially receive
polyhexanide gel 0.02% in the ordinary course.
After 24-48 hours after the accident the wound depth is measured and documented with laser
Doppler imaging (see inclusion criteria).
Then the patient is enclosed into the study.
From day 3 after the accident daily dressing changes are performed with possibly slight
analgesic medication (ibuprofen 10 mg / kg ) and if necessary under sedation with midazolam
0.5 mg / kg po. Here, a 30-minute-treatment with the wireless micro current stimulation or
the placebo lamp is performed.
For visual support of the process of the colorless wireless microcurrent therapy / colorless
placebo therapy the medical device has an additional light source (red and white color). So,
in addition, both (the control and the placebo) groups are divided in one group with
colorless intervention (white light) and a group with red light. The main aspect is to avoid
bias.
The treated wound areas are examined daily during the dressing change by the study doctors
and standardized photographed.
The condition of the wound is detected in the wound documentation module of KIS. The end
point of the wireless micro current stimulation is an epithelialization of the wound surface
under investigation of> 95%. The detection of reepithelisation is performed by the
investigators and objectified through a photo-image program.
At the total absence of wound healing on day 16th, the patient receives the standard
surgical therapy (skin grafting).
If there is an absence of wound healing with less than 50% epithelisation after 3 weeks of
wireless micro current stimulation therapy the patient will also receives the standard
surgical treatment (skin graft).
If the wound-epithelialisation at day 24 is greater than 50% but not> 95%, the wireless
micro current stimulation will still be continued, but no longer than 4 weeks - until day
30.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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