Effect on healing rates of wounds treated with direct cold atmospheric plasma: a case series.

Objective: The response of different critical acute and hard-to-heal wounds to an innovative wound care modality—direct application of cold atmospheric plasma (CAP)—was investigated in this clinical case series. Method: Over an observation period of two years, acute wounds with at least one risk fac...

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Publicado en:Journal of Wound Care Vol. 30; no. 11; pp. 904 - 915
Autores principales: Ernst, Jennifer, Tanyeli, Murat, Borchardt, Thomas, Ojugo, Moses, Helmke, Andreas, Viöl, Wolfgang, Schilling, Arndt F, Felmerer, Gunther
Formato: pictorial research tables/charts Journal Article
Publicado: Mark Allen Holdings Limited Nov2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2021
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      pub: Mark Allen Holdings Limited
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        10.12968/jowc.2021.30.11.904
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        atl: Effect on healing rates of wounds treated with direct cold atmospheric plasma: a case series.
      aug:
        au:
          Ernst, Jennifer
          Tanyeli, Murat
          Borchardt, Thomas
          Ojugo, Moses
          Helmke, Andreas
          Viöl, Wolfgang
          Schilling, Arndt F
          Felmerer, Gunther
        affil: Department of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center Goettingen, Georg-August-University, Goettingen, Germany
      sug:
        subj:
          Wounds, Chronic Therapy
          Wound Care Methods
          Plasma Gases Therapeutic Use
          Atmospheric Pressure Utilization
          Wound Healing Evaluation
          Treatment Outcomes
          Human
          Male
          Female
          Young Adult
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Data Analysis Software
          Plasma Gases Pharmacodynamics
          Nonexperimental Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Objective: The response of different critical acute and hard-to-heal wounds to an innovative wound care modality—direct application of cold atmospheric plasma (CAP)—was investigated in this clinical case series. Method: Over an observation period of two years, acute wounds with at least one risk factor for chronification, as well as hard-to-heal wounds were treated for 180 seconds three times per week with CAP. CAP treatment was additional to standard wound care. Photographs were taken for wound documentation. The wound sizes before the first CAP treatment, after four weeks, after 12 weeks and at wound closure/end of observation time were determined using image processing software, and analysed longitudinally for the development of wound size. Results: A total of 27 wounds (19 hard-to-heal and eight acute wounds) with a mean wound area of 15cm2 and a mean wound age of 49 months were treated with CAP and analysed. All (100%) of the acute wounds and 68% of the hard-to-heal wounds healed after an average treatment duration of 14.2 weeks. At the end of the observation period, 21% of hard-to-heal wounds were not yet closed but were reduced in size by >80%. In 11% of the hard-to-heal wounds (n=2) therapy failed. Conclusion: The results suggested a beneficial effect of additional CAP therapy on wound healing. Declaration of interest: This work was carried out within the research projects 'Plasma for Life' (funding reference no. 13FH6I04IA) with financial support from the German Federal Ministry of Education and Research (BMBF). In the past seven years AFS has provided consulting services to Evonik and has received institutional support by Heraeus, Johnson & Johnson and Evonik. There are no royalties to disclose. The Department for Trauma Surgery, Orthopaedics and Plastic Surgery received charitable donations by CINOGY GmbH. CINOGY GmbH released the di_CAP devices and electrodes for the study. WV and AH were involved in the development of the used di_CAP device (Plasmaderm, CINOGY GmbH). WV is shareholder of the outsourced start-up company CINOGY GmbH.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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