Burns
Conditions
Brief summary
Burned skin areas, which were initially vital, can be irreversibly damaged by wound progression. The aim of the present study is to evaluate the feasibility of ischemic conditioning to reduce secondary wound progression.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Ability to understand the study information and the consent to sign * Thermal injury (burn / scalding) with a clinical evaluated depth of at least 2a (superficial partial) * At least one of the following sites must not have skin lesions : Upper arm right and left * hospital admission within 6 hours after trauma has taken place
Exclusion criteria
* Participation in another experimental study * Pregnancy (women are subjected to a pregnancy test (urine) * Contraindication for the use of the tourniquet, for example Lymph drainage disorders after axillary lymphadenectomy or Irradiation of the axilla * Non-compliant patients who are, e.g. Intubated * Pure 3rd degree burns (full thickness) or charring * Thermal injuries older than 6 hours
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of burn depth | day 0, 1, 2, 3, 4,5, 7, 11,18,21, 90,180 | Clinical assessment of burn depth |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in skin's relative amount of hemoglobin | day 0, 1, 2, 3, 4,5, 7, 11,18,21, 90,180 | relative amount of hemoglobin (Arbitrary Units) |
| Change in skin's blood flow | day 0, 1, 2, 3, 4,5, 7, 11,18,21, 90,180 | blood flow (Arbitrary Units) |
| Change in skin's oxygen saturation | day 0, 1, 2, 3, 4,5, 7, 11,18,21, 90,180 | oxygen saturation (%) |
| Change in skin elasticity | day 0, 1, 2, 3, 4,5, 7, 11,18,21, 90,180, 360 | objective measurement of the skin elasticity |
| Differences in scare development between the study groups | day 90, 180, 360 | Assessment with the Vancouver scare scale |
Countries
Germany