Effect of Neck Collar Fixation on Ventilation in Multiple Trauma Patients

Rahmani, Farzad; Pouraghaei, Mahboub; Moharamzadeh, Payman; Mashhadi, Ebrahim

doi:10.5812/traumamon.21866

Cited by 2 publications

(1 citation statement)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Stabilisation of the cervical spine in case of suspected spine injury is one of the basic procedures that should be performed by paramedics while securing a trauma patient [1,2]. One of the most common methods for securing the cervical spine is the cervical collar, which is intended to assist the rescuer with the maintenance of neutral alignment, prevention for lateral sway and anterior-posterior flexion and extension of the cervical spine during transport and routine patient care on movement [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Cervical Collar Application Impact on the Conditions of Intubation and the Feelings of Patients — Pilot Study

Ladny¹,

Smereka

Szarpak

et al. 2018

Disaster Emerg Med J

View full text Add to dashboard Cite

INTRODUCTION: Securing the stability of the cervical spine is one of the basic procedures performed by medical personnel in trauma patients. Unfortunately, standard cervical collars limit the effectiveness of some procedures, including endotracheal intubation, as well as affect the pain sensations of the injured person. The aim of the study was to compare the influence of two different types of cervical collars on the technical conditions of endotracheal intubation and the patient's sense of comfort. METHOD: The study was designed as a randomised, cross-over research and included 32 healthy paramedics, who had a cervical collar installed for 20 minutes in a randomised way. During the examination, the patient's comfort and pain resulting from the pressure on mastoid processes were evaluated. RESULTS: Prior to the study, the mouth opening in the examined group was 51 ± 12 mm. After the setup of the Patriot collar, the mouth opening amounted to 37 ± 10 mm, while in the NECKLITE collar group amounted to 49 ± 13 mm (p < 0.001). The use of a cervical collar reduced the degree of mouth opening by 27% when using a standard cervical collar, and less than 4% when using a NECKLITE collar. The pressure on the mastoid processes assessed on a 10-point scale varied between the cervical collars and amounted to 7 ± 2 points for Patriot and 1 ± 1 points for NECKLITE collar (p < 0.001). The pain sensations associated with the cervical collar were also varied and amounted to 6 ± 3 points for Patriot collar vs. 1 ± 1 points for NECKLITE collar (p < 0.001). Ninety-seven per cent of study participants declared, that they preferred the NECKLITE collar comparing to the Patriot cervical collar. CONCLUSIONS: A standard cervical collar causes an increase in pain due to the pressure on the mastoid processes and a sense of discomfort for the patient. The NECKLITE collar thanks to the possibility of better fit to the patient's neck, does not cause any pain, and using this collar it is possible to perform endotracheal intubation without the need to unfasten it.

show abstract