Effects of spinal immobilization at 20° on respiratory functions

Akkuş, Şaban; Çorbacıoğlu, Şeref Kerem; Çevik, Yunsur; Akıncı, Emine; Uzunosmanoğlu, Hüseyin

doi:10.1016/j.ajem.2016.06.105

Cited by 11 publications

(3 citation statements)

References 12 publications

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“…4,5 Adverse effects have been reported from the use of cervical collars such as delayed transportation to definitive care, 192,193 patient discomfort and pain, 194 raised intracranial pressure 195,196 and reduced tidal volume. 197 In 2019 the First Aid Task Force undertook an extensive scoping review of cervical spinal motion restriction. A total of 3958 records were screened of which six studies were identified as relevant.…”

Section: Cervical Spine Motion Restriction and Stabilisationmentioning

confidence: 99%

European Resuscitation Council Guidelines 2021: First aid

Zideman¹,

Singletary

Borra³

et al. 2021

Resuscitation

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The European Resuscitation Council has produced these first aid guidelines, which are based on the 2020 International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations. The topics include the first aid management of emergency medicine and trauma. For medical emergencies the following content is covered: recovery position, optimal positioning for shock, bronchodilator administration for asthma, recognition of stroke, early aspirin for chest pain, second dose of adrenaline for anaphylaxis, management of hypoglycaemia, oral rehydration solutions for treating exertion-related dehydration, management of heat stroke by cooling, supplemental oxygen in acute stroke, and presyncope. For trauma related emergencies the following topics are covered: control of life-threatening bleeding, management of open chest wounds, cervical spine motion restriction and stabilisation, recognition of concussion, cooling of thermal burns, dental avulsion, compression wrap for closed extremity joint injuries, straightening an angulated fracture, and eye injury from chemical exposure.

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Section: Cervical Spine Motion Restriction and Stabilisationmentioning

confidence: 99%

European Resuscitation Council Guidelines 2021: First aid

Zideman¹,

Singletary

Borra³

et al. 2021

Resuscitation

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“…Bei Traumapatienten sind Verletzungen der Halswirbelsäule selten, können aber vorhanden sein [191,192] [195,196], Beschwerden und Schmerzen des Patienten [197], erhöhter Hirndruck [198,199] und ein reduziertes Atemzugvolumen [200]. Im Jahr 2019 führte die Arbeitsgruppe für Erste-Hilfe eine umfassende Überprüfung der Literatur über Maßnahmen zur Bewegungsbeschränkung der Halswirbelsäule durch.…”

Section: Stabilisierung Und Immobilisierung Der Halswirbelsäuleunclassified

First aid

Zideman¹,

Singletary

Borra

et al. 2021

Notfall Rettungsmed

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Zusammenfassung Diese Erste-Hilfe-Leitlinien beruhen auf dem internationalen, wissenschaftlichen Konsens 2020 zur kardiopulmonalen Wiederbelebung mit Behandlungsempfehlungen und wurden vom European Resuscitation Council erstellt. Die Themen umfassen das Erste-Hilfe-Management im Bereich Notfallmedizin und Traumata. Im Themenbereich medizinische Notfälle werden folgende Inhalte behandelt: Seitenlagerung, optimale Lagerung eines Betroffenen im Kreislaufschock, Gabe von Bronchodilatatoren bei Asthma, Erkennung eines Schlaganfalls, frühe Gabe von Acetylsalicylsäure bei Brustschmerzen, Zweitgabe von Adrenalin bei Anaphylaxie, Behandlung einer Unterzuckerung/Hypoglykämie, orale Gabe von Rehydrierungslösungen zur Behandlung eines erschöpfungsbedingten Flüssigkeitsmangels, Behandlung eines Hitzschlags durch Kühlung, Sauerstoffgabe bei akutem Schlaganfall und Benommenheit. Im Themenbereich Trauma werden folgende Themen behandelt: Stillung lebensbedrohlicher Blutungen, Behandlung offener Brustkorbverletzungen, Stabilisierung und Immobilisation der Halswirbelsäule, Erkennung von Gehirnerschütterungen, Kühlung von Verbrennungen, Zahnverlust, Kompressionsverband bei geschlossenen Gelenkverletzungen an Extremitäten, Reponierung von Frakturen mit Fehlstellung sowie Augenverletzungen durch chemische Stoffe.

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“…In previous studies involving healthy volunteers, it was asserted that spinal immobilization at 20°improved respiratory functions compared to spinal diameter; left ventricular outflow tract velocity time integral; long backboard; spinal immobilization Abbreviations: Δ: delta value BMI: body mass index CO: cardiac output DAP: diastolic arterial pressure HR: heart rate IVC: inferior vena cava IVC-CI: index inferior vena cava collapsibility index IVC diameter (exp): inferior vena cava diameter expiration IVC diameter (insp): inferior vena cava diameter inspiration LVOT: left ventricular outflow tract LVSV: left ventricular stroke volume MAP: mean arterial pressure SAP: systolic arterial pressure VTI: velocity time integral immobilization at 0°, and that it did not create a positive or negative difference in terms of cerebral oxygenation and intracranial pressure. [7][8][9][10] However, other potential effects of this recommendation should be investigated so that spinal immobilization at 20°can be used in clinical practice. When patients with multiple traumas are evaluated from a single point of view, spinal immobilization represents only a limited part of the approach applied for these patients.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Positional Change on Hemodynamic Parameters in Spinal Immobilization

Gökçen

Demir

2020

Prehosp. Disaster med.

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Introduction: The use of a long backboard and cervical collar are commonly recommended by international guidelines for spinal immobilization, but both devices may cause several side effects. In a recent study, it was reported that spinal immobilization at 20° eliminated the decrease in pulmonary function secondary to spinal immobilization performed at 0°. Spinal immobilization at 20° is a new recommendation, but other potential effects need to be explored before it can be implemented in clinical use. Study Objective: Hemodynamic observation is important in the management of trauma patients. The aim of this study was to investigate the effect of spinal immobilization at a 20° position instead of 0° on hemodynamic parameters. Methods: This study included 53 healthy volunteers who underwent spinal immobilization in the supine position (00) and in an elevated position (200). Systolic arterial pressure (SAP), diastolic arterial pressure (DAP), mean arterial pressure (MAP), heart rate (HR), left ventricular outflow tract velocity time integral (LVOT-VTI), left ventricular stroke volume (LVSV), cardiac output (CO), inferior vena cava diameter inspiration (IVC diameter insp), IVC diameter expiration (IVC diameter exp), and inferior vena cava collapsibility index (IVC-CI) were measured at the 0th and 30th minutes of spinal immobilization in both positions. The data were compared for demonstrating the efficiency of both positions in spinal immobilization. Results: A statistically significant difference was found in the parameters of the IVC diameter (exp), IVC diameter (insp), LVOT-VTI, LVSV, and CO through the measurements starting in the 0th minute of the transition from 0° to 20° (P <.001). Delta values (∆) of hemodynamic parameters (∆IVC diameter [exp], ∆IVC diameter [insp], ∆LVOT-VTI, ∆SV, ∆CO, ∆IVC-CI, ∆MAP, ∆SAP, ∆DAP, and ∆HR) were similar in spinal immobilization at 0° and 20°. Conclusion: The findings obtained from this study illustrate that spinal immobilization at 20° does not cause clinically significant hemodynamic changes in healthy subjects compared to spinal immobilization at 0°.

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Effects of spinal immobilization at 20° on respiratory functions

Cited by 11 publications

References 12 publications

European Resuscitation Council Guidelines 2021: First aid

European Resuscitation Council Guidelines 2021: First aid

First aid

The Effects of Positional Change on Hemodynamic Parameters in Spinal Immobilization

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