Pediatric Burn Treatment with Non-Thermal Atmospheric Plasma and Epifast®: Clinical Results.

IF 1 Q4 CRITICAL CARE MEDICINE
Pablo Rodríguez-Ferreyra, Régulo López-Callejas, Teresa Narváez-Robles, Benjamín Gonzalo Rodríguez-Méndez, Omar Israel Gayosso-Cerón, Antonio Mercado-Cabrera, Irene Lule-Reyna, Othoniel Mondragón-Dagio, Raúl Valencia-Alvarado, Jesús Duarte-Mote
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Abstract

The effective treatment of severe burns in pediatric patients is essential for minimizing complications and promoting optimal recovery. This study investigates the use of non-thermal atmospheric pressure plasma (NTAPP) as an adjuvant therapy in combination with Epifast® for the experimental group, compared to standard care involving early excisions and Epifast® for the control group. A randomized controlled trial was conducted with 40 pediatric patients suffering from superficial partial-thickness and deep dermal burns. The experimental group that received NTAPP daily demonstrated a significant reduction in the need for skin grafts, requiring only 10% compared to 40% in the control group (p = 0.02). Although there were no statistically significant differences in the length of hospital stay, the experimental group showed a trend toward shorter stays (9.85 days vs. 11.65 days; p = 0.38) and lower analgesic consumption (13.01 doses vs. 21.15 doses; p = 0.09). Additionally, the infection rate in the NTAPP-treated group was significantly lower at 25%, compared to 37.95% in the control group (p < 0.05). These findings suggest that NTAPP enhances wound healing while reducing surgical morbidity and the risk of infections. In conclusion, this study highlights the transformative potential of NTAPP as an innovative strategy in pediatric burn management. It combines clinical efficacy with a less invasive approach, representing a significant advance in regenerative medicine and opening new avenues for research into advanced therapies.

非热常压血浆和Epifast®治疗小儿烧伤:临床结果
小儿严重烧伤的有效治疗对于减少并发症和促进最佳康复至关重要。本研究探讨了实验组使用非热大气压等离子体(NTAPP)联合Epifast®作为辅助治疗,与对照组采用早期切除和Epifast®的标准治疗进行比较。本研究对40例患儿进行了一项随机对照试验。每天接受NTAPP的实验组对皮肤移植的需求显著减少,只需要10%,而对照组需要40% (p = 0.02)。虽然在住院时间上没有统计学上的显著差异,但实验组的住院时间有缩短的趋势(9.85天比11.65天;P = 0.38)和较低的镇痛用量(13.01剂量对21.15剂量;P = 0.09)。ntapp治疗组的感染率为25%,显著低于对照组的37.95% (p < 0.05)。这些发现表明,NTAPP可以促进伤口愈合,同时降低手术发病率和感染风险。总之,本研究强调了NTAPP作为儿科烧伤管理创新策略的变革潜力。它将临床疗效与微创方法相结合,代表了再生医学的重大进步,并为研究先进疗法开辟了新的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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