Evidence map›Paper›PMID 36353780›Full record

ArticleSkin pharmacology and physiology2022

Topically Confined Enhancement of Cutaneous Microcirculation by Cold Plasma.

Thomas Borchardt, Andreas Helmke, Jennifer Ernst, Steffen Emmert, Arndt F Schilling, Gunther Felmerer, Wolfgang Viöl

Open access · hybridAbstract read
In one paragraph

Article in Skin pharmacology and physiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. [Mechanism of cold atmospheric plasma in treatment of chronic skin ulcer].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Review
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Thomas BorchardtFaculty of Engineering and Health, HAWK University of Applied Sciences and Arts, Goettingen, Germany.
Andreas HelmkeFaculty of Engineering and Health, HAWK University of Applied Sciences and Arts, Goettingen, Germany.
Jennifer ErnstDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center Goettingen. Georg-August-University, Goettingen, Germany.
Steffen EmmertClinic and Policlinic for Dermatology and Venereology, University Medical Center Rostock, Rostock, Germany.
Arndt F SchillingDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center Goettingen. Georg-August-University, Goettingen, Germany.
Gunther FelmererDepartment of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center Goettingen. Georg-August-University, Goettingen, Germany.
Wolfgang ViölFaculty of Engineering and Health, HAWK University of Applied Sciences and Arts, Goettingen, Germany.
University of Göttingen · DEUniversity of Rostock · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe aim to explore potentials and modalities of cold atmospheric pressure plasma (CAP) for the subsequent development of therapies targeting an increased perfusion of the lower leg skin tissue. In this study, we addressed the question whether the microcirculation enhancement is restricted to the tissue in direct contact with plasma or if adjacent tissue might also benefit.

methodsA dielectric barrier discharge (DBD)-generated CAP device exhibiting an electrode area of 27.5 cm2 was used to treat the anterior lower leg of ten healthy subjects for 4.5 min. Subsequently, hyperspectral imaging was performed to measure the tempospatially resolved characteristics of microcirculation parameters in superficial (up to 1 mm) and deeper (up to 5 mm) skin layers.

resultsIn the tissue area covered by the plasma electrode, DBD-CAP treatment enhances most of the perfusion parameters. The maximum oxygen saturation increase reached 8%, the near-infrared perfusion index (NIR) increased by a maximum of 4%, and the maximum tissue hemoglobin increase equaled 14%. Tissue water index (TWI) was lower in both the control and the plasma groups, thus not affected by the DBD-CAP treatment. Yet, our study reveals that adjacent tissue is hardly affected by the enhancements in the electrode area, and the effects are locally confined.

conclusionApplication of DBD-CAP to the lower leg resulted in enhancement of cutaneous microcirculation that extended 1 h beyond the treatment period with localization to the tissue area in direct contact with the cold plasma. This suggests the possibility of tailoring application schemes for topically confined enhancement of skin microcirculation, e.g., in the treatment of chronic wounds.

Indexed as

Plasma GasesAtmospheric PressureHealthy VolunteersHumansMicrocirculationSkinPlasma GasesChronic leg woundsCold atmospheric plasmaMicrocirculationOxygen saturationPlasma medicine

Identifiers

PMID36353780
PMCPMC9811424
OpenAlexW4308688279

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.