Evaluation of clinical efficacy and safety of cervical trauma collars: differences in immobilization, effect on jugular venous pressure and patient comfort.
To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access. Concern has been raised that cervical collars may increase intracranial pressure in trauma...
Published in: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
---|---|
Main Authors: | , , , |
Other Authors: | |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BioMed Central Ltd
2014
|
Subjects: | |
Online Access: | http://hdl.handle.net/2336/325880 https://doi.org/10.1186/1757-7241-22-37 |
id |
ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/325880 |
---|---|
record_format |
openpolar |
spelling |
ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/325880 2023-05-15T16:52:47+02:00 Evaluation of clinical efficacy and safety of cervical trauma collars: differences in immobilization, effect on jugular venous pressure and patient comfort. Karason, Sigurbergur Reynisson, Kristbjorn Sigvaldason, Kristinn Sigurdsson, Gisli H Landspitali Univ Hosp, Dept Anesthesia & Intens Care, Reykjavik, Iceland, Univ Iceland, Fac Med, Reykjavik, Iceland, Landspitali Univ Hosp, Dept Radiol, Reykjavik, Iceland 2014 http://hdl.handle.net/2336/325880 https://doi.org/10.1186/1757-7241-22-37 en eng BioMed Central Ltd http://dx.doi.org/10.1186/1757-7241-22-37 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4066830/ Scand J Trauma Resusc Emerg Med. 2014, 22:37 1757-7241 24906207 doi:10.1186/1757-7241-22-37 http://hdl.handle.net/2336/325880 Scandinavian journal of trauma, resuscitation and emergency medicine openAccess Open Access Hálshnykksáverkar Háls Hjálpartæki Cervical Vertebrae/injuries* Equipment Design Neck* Patient Satisfaction* Postoperative Care Spinal Injuries/therapy Adult Catheterization Central Venous Female Humans Immobilization/instrumentation* Intracranial Pressure Jugular Veins/physiopathology* Male Orthotic Devices* Spinal Injuries/physiopathology Trauma Severity Indices Treatment Outcome Venous Pressure/physiology* Article 2014 ftlandspitaliuni https://doi.org/10.1186/1757-7241-22-37 2022-05-29T08:21:59Z To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access. Concern has been raised that cervical collars may increase intracranial pressure in traumatic brain injury. The purpose of this study was to compare four types of cervical collars regarding efficacy of immobilizing the neck, effect on jugular venous pressure (JVP), as a surrogate for possible effect on intracranial pressure, and patient comfort in healthy volunteers. The characteristics of four widely used cervical collars (Laerdal Stifneck(®) (SN), Vista(®) (VI), Miami J Advanced(®) (MJ), Philadelphia(®) (PH)) were studied in ten volunteers. Neck movement was measured with goniometry, JVP was measured directly through an endovascular catheter and participants graded the collars according to comfort on a scale 1-5. The mean age of participants was 27 ± 5 yr and BMI 26 ± 5. The mean neck movement (53 ± 9°) decreased significantly with all the collars (p < 0.001) from 18 ± 7° to 25 ± 9° (SN < MJ < PH < VI). There was a significant increase in mean JVP (9.4 ± 1.4 mmHg) with three of the collars, but not with SN, from 10.5 ± 2.1 mmHg to 16.3 ± 3.3 mmHg (SN < MJ < VI < PH). The grade of comfort between collars varied from 4.2 ± 0.8 to 2.2 ± 0.8 (VI > MJ > SN > PH). Stifneck and Miami J collars offered the most efficient immobilization of the neck with the least effect on JVP. Vista and Miami J were the most comfortable ones. The methodology used in this study may offer a new approach to evaluate clinical efficacy and safety of neck collars and aid their continued development. Ossur Inc, Reykjavik, Iceland Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 22 1 |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Hálshnykksáverkar Háls Hjálpartæki Cervical Vertebrae/injuries* Equipment Design Neck* Patient Satisfaction* Postoperative Care Spinal Injuries/therapy Adult Catheterization Central Venous Female Humans Immobilization/instrumentation* Intracranial Pressure Jugular Veins/physiopathology* Male Orthotic Devices* Spinal Injuries/physiopathology Trauma Severity Indices Treatment Outcome Venous Pressure/physiology* |
spellingShingle |
Hálshnykksáverkar Háls Hjálpartæki Cervical Vertebrae/injuries* Equipment Design Neck* Patient Satisfaction* Postoperative Care Spinal Injuries/therapy Adult Catheterization Central Venous Female Humans Immobilization/instrumentation* Intracranial Pressure Jugular Veins/physiopathology* Male Orthotic Devices* Spinal Injuries/physiopathology Trauma Severity Indices Treatment Outcome Venous Pressure/physiology* Karason, Sigurbergur Reynisson, Kristbjorn Sigvaldason, Kristinn Sigurdsson, Gisli H Evaluation of clinical efficacy and safety of cervical trauma collars: differences in immobilization, effect on jugular venous pressure and patient comfort. |
topic_facet |
Hálshnykksáverkar Háls Hjálpartæki Cervical Vertebrae/injuries* Equipment Design Neck* Patient Satisfaction* Postoperative Care Spinal Injuries/therapy Adult Catheterization Central Venous Female Humans Immobilization/instrumentation* Intracranial Pressure Jugular Veins/physiopathology* Male Orthotic Devices* Spinal Injuries/physiopathology Trauma Severity Indices Treatment Outcome Venous Pressure/physiology* |
description |
To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access. Concern has been raised that cervical collars may increase intracranial pressure in traumatic brain injury. The purpose of this study was to compare four types of cervical collars regarding efficacy of immobilizing the neck, effect on jugular venous pressure (JVP), as a surrogate for possible effect on intracranial pressure, and patient comfort in healthy volunteers. The characteristics of four widely used cervical collars (Laerdal Stifneck(®) (SN), Vista(®) (VI), Miami J Advanced(®) (MJ), Philadelphia(®) (PH)) were studied in ten volunteers. Neck movement was measured with goniometry, JVP was measured directly through an endovascular catheter and participants graded the collars according to comfort on a scale 1-5. The mean age of participants was 27 ± 5 yr and BMI 26 ± 5. The mean neck movement (53 ± 9°) decreased significantly with all the collars (p < 0.001) from 18 ± 7° to 25 ± 9° (SN < MJ < PH < VI). There was a significant increase in mean JVP (9.4 ± 1.4 mmHg) with three of the collars, but not with SN, from 10.5 ± 2.1 mmHg to 16.3 ± 3.3 mmHg (SN < MJ < VI < PH). The grade of comfort between collars varied from 4.2 ± 0.8 to 2.2 ± 0.8 (VI > MJ > SN > PH). Stifneck and Miami J collars offered the most efficient immobilization of the neck with the least effect on JVP. Vista and Miami J were the most comfortable ones. The methodology used in this study may offer a new approach to evaluate clinical efficacy and safety of neck collars and aid their continued development. Ossur Inc, Reykjavik, Iceland |
author2 |
Landspitali Univ Hosp, Dept Anesthesia & Intens Care, Reykjavik, Iceland, Univ Iceland, Fac Med, Reykjavik, Iceland, Landspitali Univ Hosp, Dept Radiol, Reykjavik, Iceland |
format |
Article in Journal/Newspaper |
author |
Karason, Sigurbergur Reynisson, Kristbjorn Sigvaldason, Kristinn Sigurdsson, Gisli H |
author_facet |
Karason, Sigurbergur Reynisson, Kristbjorn Sigvaldason, Kristinn Sigurdsson, Gisli H |
author_sort |
Karason, Sigurbergur |
title |
Evaluation of clinical efficacy and safety of cervical trauma collars: differences in immobilization, effect on jugular venous pressure and patient comfort. |
title_short |
Evaluation of clinical efficacy and safety of cervical trauma collars: differences in immobilization, effect on jugular venous pressure and patient comfort. |
title_full |
Evaluation of clinical efficacy and safety of cervical trauma collars: differences in immobilization, effect on jugular venous pressure and patient comfort. |
title_fullStr |
Evaluation of clinical efficacy and safety of cervical trauma collars: differences in immobilization, effect on jugular venous pressure and patient comfort. |
title_full_unstemmed |
Evaluation of clinical efficacy and safety of cervical trauma collars: differences in immobilization, effect on jugular venous pressure and patient comfort. |
title_sort |
evaluation of clinical efficacy and safety of cervical trauma collars: differences in immobilization, effect on jugular venous pressure and patient comfort. |
publisher |
BioMed Central Ltd |
publishDate |
2014 |
url |
http://hdl.handle.net/2336/325880 https://doi.org/10.1186/1757-7241-22-37 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://dx.doi.org/10.1186/1757-7241-22-37 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4066830/ Scand J Trauma Resusc Emerg Med. 2014, 22:37 1757-7241 24906207 doi:10.1186/1757-7241-22-37 http://hdl.handle.net/2336/325880 Scandinavian journal of trauma, resuscitation and emergency medicine |
op_rights |
openAccess Open Access |
op_doi |
https://doi.org/10.1186/1757-7241-22-37 |
container_title |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
container_volume |
22 |
container_issue |
1 |
_version_ |
1766043190467493888 |