Laser Doppler imaging as a tool in the burn wound treatment protocol

Algirda Venclauskiene; Algidas Basevicius; Ernest Zacharevskij; Vytautas Vaicekauskas; Rytis Rimdeika; Saulius Lukosevicius

doi:10.5114/wiitm.2014.40273

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Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

Laser Doppler imaging as a tool in the burn wound treatment protocol

Algirda Venclauskiene

,

Algidas Basevicius

,

Ernest Zacharevskij

,

Vytautas Vaicekauskas

,

Rytis Rimdeika

,

Saulius Lukosevicius

Videosurgery Miniinv 2014; 9 (1): 24–30

DOI: https://doi.org/10.5114/wiitm.2014.40273

Online publish date: 2014/02/18

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Introduction: The main treatment of burns is early excision of injured tissues.

Aim: To compare two different methods of examination of burned patients: clinical burn depth examination (CDE) and laser Doppler imaging (LDI).

Material and methods: A prospective randomized study of 57 burn patients treated in 2009–2011 was carried out. The burned patients were randomized into a CDE group and an LDI group. The CDE and LDI scan were performed 72 h after injury, with the second and third CDE and LDI scan on the 7^th and 14^th day after the burn. Age, sex, length of inpatient stay, cost of burn treatment, burn depth, cause and localization of the burns were analyzed between the two groups.

Results: Fifty-seven patients were treated during 2 years. Thirty-two patients were in the CDE group and 25 patients were in the LDI group. Most of the patients were male (45 male vs. 12 female, p < 0.001). The age was similar between the males and the females (female: 46.4 ±16.9 years vs. male: 46.3 ±12.5 years; p = 0.11). The mean length of stay in hospital was significantly higher in the CDE group (47 ±34.4 day vs. 25 ±10.8 day; p = 0.005). The mean cost of treatment of burned patients was significantly higher in the CDE group.

Conclusions: The length of stay and cost of treatment of burn patients depends upon early diagnosis of the deep burns and well-timed surgical treatment of burn wounds.

keywords:

Laser Doppler imaging as a tool in the burn wound treatment protocol

Algirda Venclauskiene , Algidas Basevicius , Ernest Zacharevskij , Vytautas Vaicekauskas , Rytis Rimdeika , Saulius Lukosevicius

laser Doppler imaging, perfusion velocity, burn depth measure

Algirda Venclauskiene

,

Algidas Basevicius

,

Ernest Zacharevskij

,

Vytautas Vaicekauskas

,

Rytis Rimdeika

,

Saulius Lukosevicius