Respiratory effects of spinal immobillzatlon

Totten, Vicken Y.; Sugarman, David

doi:10.1080/10903129908958967

Cited by 104 publications

(59 citation statements)

References 11 publications

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“…Pain is almost universal with the use of a backboard. 22−25 There are other potential problems, such as mild respiratory compromise 26 , increased intracranial pressure, 27,28 or the rare cases of distracting an unstable fracture. 29,30 A recent pediatric study demonstrated that immobilized children with a similar level of trauma had higher rates of pain and were more likely to undergo radiographic evaluation and admission to the hospital.…”

mentioning

confidence: 99%

Spinal Motion Restriction: An Educational and Implementation Program to Redefine Prehospital Spinal Assessment and Care

Morrissey¹,

Kusel²,

Sporer³

2014

Prehospital Emergency Care

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Introduction. Prehospital spine immobilization has long been applied to victims of trauma in the United States and up to 5 million patients per year are immobilized mostly with a cervical collar and a backboard. Objective. The training of paramedics and emergency medical technicians on the principals of spine motion restriction (SMR) will decrease the use of backboards. Methods. The training for SMR emphasized the need to immobilize those patients with a significant potential for an unstable cervical spine fracture and to use alternative methods of maintaining spine precautions for those with lower risk. The training addressed the potential complications of the use of the unpadded backboard and education was provided about the mechanics of spine injuries. Emergency medical services (EMS} personnel were taught to differentiate between the critical multisystem trauma patients from the more common moderate, low kinetic energy trauma patients. A comprehensive education and outreach program that included all of the EMS providers (fire and private), hospitals, and EMS educational institutions was developed. Results. Within 4 months of the policy implementation, prehospital care practitioners reduced the use of the backboard by 58%. This was accomplished by a decrease in the number of patients considered for SMR with low kinetic energy and the use of other methods, such as the cervical collar only. Conclusion. The implementation of a SMR training program significantly decreases the use of backboards and allows alternative methods of maintaining spine precautions.

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mentioning

confidence: 99%

Spinal Motion Restriction: An Educational and Implementation Program to Redefine Prehospital Spinal Assessment and Care

Morrissey¹,

Kusel²,

Sporer³

2014

Prehospital Emergency Care

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“…There have been several studies on the effects of spinal immobilization on pulmonary function, and these studies have shown that forced expiratory volume in 1 s (FEV 1 ) and forced vital capacity (FVC) levels significantly decreased at the 5 th and 30 th minutes (18)(19)(20). In our study, secondary indicators of pulmonary function, breath rate, and oxygen saturation were also assessed, and it was shown that they were not affected by spinal immobilization.…”

Section: Discussionmentioning

confidence: 99%

Effect of Spinal Immobilization with a Long Backboard and Cervical Collar on the Vital Signs

Çorbacıoğlu¹,

Akkuş²,

Çevik³

et al. 2016

EAJEM

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“…[13] An experimental study on healthy subjects supine on the spinal board with standard torso straps demonstrated a significant reduction in FVC and FEV1. [14] In a study of Totten, [15] whole body immobilization either with a backboard or vacuum mattress and collar significantly restricted ventilation when compared with no immobilization. The effects were similar under the two immobilization conditions, although the FEV1 was lower on the vacuum mattress.…”

Section: Discussionmentioning

confidence: 99%

Respiratory effects of spinal immobilization devices on pulmonary function in healthy volunteer individuals

Ay¹,

Aktaş²,

Yesilyurt³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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AMAÇSpinal immobilizasyon cihazlarının solunum fonksiyonları üzerindeki etkileri araştırıldı. GEREÇ VE YÖNTEMBu çalışma, sağlıklı gönüllü kişilerde yapılan kesitsel bir çalışmadır, 60 gönüllü dahil edildi. Yatar pozisyondayken tam spirometre uygulandı ve tüm deneklerde zorlu vital kapasite (FVC), zorlu birinci saniye ekspiratuvar hacim (FEV1) ve FEV1/FVC kaydedildi. Sonra, Philadelphia tipi boyunluk (Philly) ve travma yeleği (Kendrick extrication device=KED) tüm deneklere uygulandı. Boyunluk ve KED uygulamasından sonra 5. ve 30. dakikada tüm deneklerde FVC, FEV1 ve FEV1/FVC ölçüldü. Bir saat dinlenme zamanından sonra, tüm deneklere Philly ve uzun omurga tahtası tekrar uygulandı. Boyunluk ve uzun omurga tahtası uygulandıktan sonra tüm deneklerde 5. ve 30. dakikada FVC, FEV1 ve FEV1/FVC ölçüldü. BULGULARBazal değerler KED uygulandıktan sonra ölçülen 5. ve 30. dakika değerleri ile karşılaştırıldı. KED uygulandıktan sonra FEV1 (p=0,000) ve FVC değerlerinde (p=0,000) önem-li derecede istatiksel anlamlı düşme bulundu, ama FEV1/ FVC değerlerinde belirgin değişiklik yoktu. Uzun omurga tahtası uygulandıktan sonra 5. ve 30. dakikada ölçülen değerleri bazal değerlerle karşılaştırıldı. Uzun omurga tahtası uygulandıktan sonra FEV1 (p=0,000) ve FVC değerle-rinde (p=0,000) önemli derecede istatiksel anlamlı düşme bulundu, fakat FEV1/FVC değerlerinde belirgin değişik-lik yoktu. SONUÇKED ve uzun omurga tahtasının solunum fonksiyonlarını azalttığını belirledik.Anahtar Sözcükler: Travma tahtası; travma yeleği; akciğer fonksiyonu; omurga sabitleme.

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Respiratory effects of spinal immobillzatlon

Abstract: This study confirmed the previously reported respiratory restriction caused by spinal immobilization. Vacuum mattresses are more comfortable than wooden backboards.

Cited by 104 publications

References 11 publications

Spinal Motion Restriction: An Educational and Implementation Program to Redefine Prehospital Spinal Assessment and Care

Spinal Motion Restriction: An Educational and Implementation Program to Redefine Prehospital Spinal Assessment and Care

Effect of Spinal Immobilization with a Long Backboard and Cervical Collar on the Vital Signs

Respiratory effects of spinal immobilization devices on pulmonary function in healthy volunteer individuals

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