• S Tsolakidis, R Rosenauer, R Schmidhammer, N Pallua, and H O Rennekampff.
• Austrian Cluster of Tissue Regeneration and Ludwig Boltzmann Institute for Experimental and Clinical Traumatology at the Research Centre for Traumatology of the Austrian Workers Compensation Board (AUVA), Donaueschingenstraße 13, 1200 Vienna, Austria; Millesi Center for Surgery of Peripheral Nerves, Vienna Private Clinic, Pelikangasse 15, 1090 Vienna, Austria. Electronic address: s.tsolakidis@me.com.
• Burns. 2022 Aug 1; 48 (5): 1230-1235.

RationaleSkin breakdown, as in wounds, leads to an electric potential, defined as current of injury with the intent of wound closure. Burn wounds are defined by different zones of perfusion having a direct influence on further therapy (e.g. conservative management or skin grafting). We studied immediate, quantifiable effects of electric stimulation on skin perfusion in burn wounds.MethodWireless Microcurrent Stimulation (WMCS) was utilised as an adjunct therapeutic modality in 10 patients with partial thickness burn wounds. Microcirculation in the skin was quantified with a Laser Doppler (LDI) before and after WMCS treatment. We included a control group of 10 healthy individuals.ResultsA single application of WMCS significantly increased mean flow, velocity and subsequently, haemoglobin and oxygen saturation in partial thickness burn wounds. In healthy skin these parameters increased, but were far less pronounced than in thermally injured skin.ConclusionThis study revealed, for the first time that non-contact WMCS improves blood flow in critically perfused partial thickness burn wounds without disturbing the wound or systemically affecting the patient and may represent a promising adjunct tool in burn treatment, with the potential of faster healing by enhanced perfusion of burn wounds and reduction of the zone of stasis.Level Of EvidenceIII.Copyright © 2021. Published by Elsevier Ltd.

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