Evaluation of Oxygen Diffusion Dressing for Accelerating Healing of Donor Site and Other Wounds
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Purpose
This is a single-center, prospective, randomized, and controlled study to evaluate the effectiveness of OxyBand Dressing for the use as a dressing for autogenous skin donor sites compared to our current standard donor site dressing (Xeroform). Hypothesis is that the mean healing time for wounds treated with the OxyBand dressing will be less than the mean healing time for wounds treated with the Xeroform dressing.
| Condition | Intervention |
|---|---|
|
Burn Wound Management With Oxygen |
Device: Oxygen diffusing dressing Device: Control dressing |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Evaluation of Oxygen Diffusion Dressing for Accelerating Healing of Donor Site and Other Wounds |
- Healing time for donor site wounds [ Time Frame: number of days to healing ] [ Designated as safety issue: No ]Wounds are inspected on postoperative days 4, 8, and then every two days until the wound is deemed to be healed.
- Pain perceived by patient [ Time Frame: assessed at each visit ] [ Designated as safety issue: No ]Patient will be asked to rate pain 0-10/10 at the study site and the control site
- Cosmetic effect of healing [ Time Frame: 30-45 days after surgery ] [ Designated as safety issue: No ]Photos of the study and control wounds will be assessed and scored by an independent burn surgeon
- Ease of use/application by surgeon [ Time Frame: assessed at the initial operation ] [ Designated as safety issue: No ]The surgeon will be asked to rate the ease of application of the study dressing compared to the control dressing.
| Enrollment: | 18 |
| Study Start Date: | August 2010 |
| Study Completion Date: | March 2012 |
| Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Study dressing
Oxygen diffusing dressing applied to wound
|
Device: Oxygen diffusing dressing
Oxygen diffusing dressing applied to study wound
Other Name: OxyBand dressing
|
|
Active Comparator: Control dressing
Xeroform (current standard of care) dressing applied to wound
|
Device: Control dressing
Xeroform control dressing applied to control wound
Other Name: Xeroform dressing
|
Detailed Description:
Patients who are scheduled for excision of burns or other injuries will have one of two donor sites covered with the OxyBand Dressing, and the other treated according to standard of care. OxyBand is an FDA (Food and Drug Administration) approved (K043063) wound dressing for delivery of oxygen into the wound. Two small clinical studies using OxyBand have been conducted on standardized laser burn wounds, demonstrating faster healing time compared to a placebo. No studies have compared this dressing to Xeroform dressing, the standard dressing used on donor sites in the USAISR.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subject must be at least 18 years of age; of either gender and in good general health.
- Subject has sustained burn wounds of less than 30 percent of the total body surface area
- Burn wounds do not involve the harvesting area
- Subject has sustained burn wounds that, in the judgment of the attending surgeon, require excision and grafting of sufficient extent to justify two donor sites of equal and symmetrical size on non-dependent body surfaces areas
- The scheduled excision and grafting procedure is the first such operation for the subject during this hospitalization
- Subject agrees to participate in follow-up evaluations
Exclusion Criteria:
- Critical illnesses such as those requiring ventilator support, or having a systemic infection or hemodynamic instability, defined as a mean arterial pressure less than 60 or requiring vasoactive medications to support blood pressure
- Major acute or chronic medical illnesses that could affect wound healing (e.g. peripheral vascular disease, insulin dependent diabetes, blood clotting disorder)
- Subjects receiving treatment with medications that inhibit or compromise wound healing. Examples include therapeutic anticoagulants, antiplatelet drugs, and systemic steroids such as warfarin, clopidigrel or prednisone. The use of anticoagulants does not include DVT (Deep Vein Thrombosis) prophylaxis. Subjects may use aspirin or lovenox
- Cellulitis or other infection of the potential donor sites
- Donor site has been previously harvested for grafting
- Subjects with greater than 30% total body surface area burns
- Pregnancy
- Prisoners
Contacts and Locations| United States, Texas | |
| US Army Institute of Surgical Research, Burn Center | |
| Ft. Sam Houston, Texas, United States, 78234 | |
| Principal Investigator: | Kimberly F Lairet, MD | US Army Institute of Surgical Research |
More Information
No publications provided
| Responsible Party: | United States Army Institute of Surgical Research |
| ClinicalTrials.gov Identifier: | NCT01268189 History of Changes |
| Other Study ID Numbers: | H-09-008 |
| Study First Received: | December 21, 2010 |
| Last Updated: | January 15, 2013 |
| Health Authority: | United States: Federal Government |
Keywords provided by United States Army Institute of Surgical Research:
|
burn wound management with oxygen |
ClinicalTrials.gov processed this record on May 19, 2013