Vorteile der wassergefilterten gegenüber herkömmlicher Infrarot-Strahlung in der Neonatologie

Singer, Dominique; Schröder, Michael J.; Harms, K.

doi:10.1055/s-2000-10202

Cited by 11 publications

(4 citation statements)

References 18 publications

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“…From this point of view, it may be beneficial not to warm an asphyxiated neonate too much, especially since peripheral vasoconstriction increases the risk of burns from radiant heaters that primarily act on the body surface [ 47 , 48 ]. However, this is contradicted by the fact that upon restoration of O 2 supply, a relatively rapid onset of thermogenesis may occur, which may then per se impair postnatal adaptation due to the concomitant increase in metabolic rate.…”

Section: Neonatal Hypothermiamentioning

confidence: 99%

Pediatric Hypothermia: An Ambiguous Issue

Singer

2021

IJERPH

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Hypothermia in pediatrics is mainly about small body size. The key thermal factor here is the large surface-to-volume ratio. Although small mammals, including human infants and children, are adapted to higher heat losses through their elevated metabolic rate and thermogenic capacity, they are still at risk of hypothermia because of a small regulatory range and an impending metabolic exhaustion. However, some small mammalian species (hibernators) use reduced metabolic rates and lowered body temperatures as adaptations to impaired energy supply. Similar to nature, hypothermia has contradictory effects in clinical pediatrics as well: In neonates, it is a serious risk factor affecting respiratory adaptation in term and developmental outcome in preterm infants. On the other hand, it is an important self-protective response to neonatal hypoxia and an evidence-based treatment option for asphyxiated babies. In children, hypothermia first enabled the surgical repair of congenital heart defects and promotes favorable outcome after ice water drowning. Yet, it is also a major threat in various prehospital and clinical settings and has no proven therapeutic benefit in pediatric critical care. All in all, pediatric hypothermia is an ambiguous issue whose harmful or beneficial effects strongly depend on the particular circumstances.

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Section: Neonatal Hypothermiamentioning

confidence: 99%

Pediatric Hypothermia: An Ambiguous Issue

Singer

2021

IJERPH

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“…A variety of clinical applications for wIRA has been described (reviewed in Hoffmann, 2007, 2017a), like improvement of wound healing in acute and chronic wounds (Hartel et al, 2007; von Felbert et al, 2007; Hoffmann, 2009; Daeschlein et al, 2012; Hoffmann et al, 2016), application in sports medicine and physiotherapy (Vaupel et al, 1995; Hoffmann, 2002), treatment of Morbus Bechterew (Falkenbach et al, 1996) or weight loss (Möckel et al, 2006), in the neonatology field (Singer et al, 2000; Löwe and Singer, 2008), for treatment of scleroderma lesions (Von Felbert et al, 2007, 2011), swallowing disorders and hypersalivation (Hoffmann, 2017b), therapy of recurrent breast cancer (Notter et al, 2017) and superficial tumors (Vaupel et al, 2018), or as a treatment method for actinic keratosis in combination with photodynamic therapy (PDT) (Von Felbert et al, 2010; Giehl et al, 2014). Moreover, wIRA can promote the penetration of topically applied substances (Otberg et al, 2008) and is also attractive for cosmetics and wellness applications (Piazena and Kelleher, 2010; Jung and Grune, 2012).…”

Section: Application Of Wira In Patientsmentioning

confidence: 99%

Perspective: Water-Filtered Infrared-A-Radiation (wIRA) – Novel Treatment Options for Chlamydial Infections?

Kuratli

Borel

2019

Front. Microbiol.

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Water-filtered infrared-A-radiation (wIRA) is a promising therapeutic method, which is particularly used as supportive treatment for wound closure, and wound infection treatment and prevention. High penetration properties of the heat field and beneficial effects on wound healing processes predispose wIRA irradiation to be a non-invasive treatment method for bacterial infections in superficial tissues. Since Chlamydia trachomatis still represents the leading cause of infectious blindness in third world countries (WHO http://www.who.int/topics/trachoma/en/ ) and wIRA displays beneficial effects on chlamydial infections in vitro without inducing cellular damage in ex vivo eye models and also shows beneficial effects on wound healing, this irradiation technique might represent a promising future treatment for trachoma patients. To this end, further studies investigating shorter irradiation times or irradiation of Chlamydia in chronic infections [the chlamydial stress response ( Bavoil, 2014 )] as well as safety studies in animal models should clearly be performed.

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“…wIRA wird bei Neugeborenen zur Aufrechterhaltung oder Erhöhung der Körpertemperatur eingesetzt [17,47]. wIRA vermag vor einem Transport ein "Wärmedepot" aufzubauen, was einer Auskühlung auf dem anschließenden Transport entgegenwirkt, sodass die Häufigkeit erniedrigter Körpertemperatur (Hypothermie-Inzidenz) der Neugeborenen bei Aufnahme auf die Intensivstation verringert wird.…”

Section: Neonatologieunclassified

Klinische Anwendungen von wassergefiltertem Infrarot A (wIRA) – eine Übersicht

Hoffmann

2017

Phys Med Rehab Kuror

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ZusammenfassungWassergefiltertes Infrarot A (wIRA) ist eine spezielle Form der Wärmestrahlung mit hohem Eindringvermögen in das Gewebe und geringer thermischer Belastung der Hautoberfläche.wIRA steigert deutlich Temperatur, Sauerstoffpartialdruck und Durchblutung im Gewebe und wirkt auch über nicht-thermische zelluläre Effekte. wIRA mindert indikationsübergreifend Schmerzen (mit relevant weniger Analgetikabedarf), Entzündung und vermehrte Sekretion und fördert Infektionsabwehr und Regeneration.Entsprechend breit sind die klinischen Anwendungsmöglichkeiten von wIRA. wIRA ist ein kontaktfreies, verbrauchsmaterialfreies, leicht anzuwendendes, (selbst bei Wunden) als angenehm empfundenes Verfahren mit guter Tiefenwirkung und anhaltendem Wärmedepot. wIRA ist u. a. einsetzbar zur Verbesserung der Heilung akuter und chronischer Wunden (wobei selbst eine ungestört “normal” ablaufende Wundheilung noch verbessert werden kann: schneller, schmerzärmer), bei Hauterkrankungen (wie vulgären Warzen, Herpes labialis, Herpes Zoster, Sklerodermie, Akne papulopustulosa; aktinischen Keratosen im Rahmen einer Photodynamischen Therapie), zur Resorptionsverbesserung topisch applizierter Substanzen, bei muskuloskeletalen Erkrankungen (wie Arthrosen, Arthritiden, Lumbago, ankylosierender Spondyloarthritis), zur Regeneration nach Sport, beim komplexen regionalen Schmerzsyndrom (CRPS), bei Polyneuropathien und in Kombination mit Strahlentherapie oder Chemotherapie in der Onkologie.

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Vorteile der wassergefilterten gegenüber herkömmlicher Infrarot-Strahlung in der Neonatologie

Abstract: In view of these benefits which are reinforced by a greatly diminished evaporation effect, water-filtered IR-radiation seems to make a promising contribution to the thermal protection of preterm neonates.

Cited by 11 publications

References 18 publications

Pediatric Hypothermia: An Ambiguous Issue

Pediatric Hypothermia: An Ambiguous Issue

Perspective: Water-Filtered Infrared-A-Radiation (wIRA) – Novel Treatment Options for Chlamydial Infections?

Klinische Anwendungen von wassergefiltertem Infrarot A (wIRA) – eine Übersicht

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