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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
188
The irradiation time is 30 minutes a day, the depth of penetration of the electrons in the skin stimulation is 1.5 uA. The irradiation is accompanied by white light.
The irradiation time is 30 minutes a day, the depth of penetration of the electrons in the skin stimulation is 1.5 uA. The irradiation is accompanied by red light.
The placebo-irradiation time is 30 minutes a day. The placebo irradiation is accompanied by white light.
Pediatric Surgery Kinder- und Jugendkrankenhaus AUF DER BULT
Hanover, Lower Saxony, Germany
Epithelialization of the examined wound area of> 95%
The primary endpoint of the trial is a epithelialization of the examined wound area of\> 95%. The primary endpoint is the time to reach a epithelialization of the wound defect\> 95%, measured in days since initial treatment (= initial treatment of the wound). In absence of wound healing after initial treatment and study treatment, the then usual surgical treatment for deep dermal wounds will be performed in patients (skin graft).
Time frame: up to 30 days
Pain measurements
The secondary endpoints include the subjective pain. This is detected every 8 hours (starting at 8:00 am) during hospitalization and indicated by a validated, visual analogue pain scale through study completion
Time frame: up to 21 days
Pain killer consumption
The painkiller consumption per kg / body weight and day is captured through study completion
Time frame: up to 21 days
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The placebo-irradiation time is 30 minutes a day. The placebo irradiation is accompanied by red light.