Effect of cervical collars on intracranial pressure in patients with head neurotrauma

Moscote-Salazar, Luis Rafael; Godoy, Daniel A.; Agrawal, Amit; Rubiano, Andres M.

doi:10.15171/jept.2017.03

Document Type : Letter to Editor

Authors

¹ 1Neurosurgeon-Critical Care, RED LATINO. Latin American Trauma & Intensive Neuro-Care Organization, Bogota, Colombia

² Unidad de Cuidados Neurointensivos, Sanatorio Pasteur y Unidad de Terapia Intensiva, Hospital San Juan Bautista, Catamarca, Argentina

³ Department of Neurosurgery, Narayna Medical College Hospital, Chinthareddypalem, Nellore-524003, Andhra Pradesh, India

⁴ El Bosque University, RED LATINO. Latin American Trauma & Intensive Neuro-Care Organization, Bogota, Colombia

https://doi.org/10.15171/jept.2017.03

Abstract

Trauma patients are at high risk of cervical and associated injuries. The standard protocol includes immobilization of the cervical spine in a polytrauma as it will help to prevent spinal injuries in the prehospital settings. Hard cervical collar (or alternatives) is routinely used until the cervical spine clearance is obtained . In patients with traumatic brain injury avoiding any kind of maneuver may lead to increased intracranial pressure.

Keywords

Main Subjects

Emergency medicine

References

1. Dunham CM, Brocker BP, Collier BD, Gemmel DJ. Risks associated with magnetic resonance imaging and cervical collar in comatose, blunt trauma patients with negative comprehensive cervical spine computed tomography and no apparent spinal deficit. Crit Care 2008; 12(4): R89. doi: 10.1186/cc6957.

2. Ho AMH, Fung KY, Joynt GM, Karmakar MK, Peng Z. Rigid cervical collar and intracranial pressure of patients with severe head injury. J Trauma 2002; 53(6): 1185-8.

3. Lemyze M, Palud A, Favory R, Mathieu D. Unintentional strangulation by a cervical collar after attempted suicide by hanging. Emerg Med J 2011; 28(6): 532. doi: 10.1136/ emj.2010.106625.

4. Stone MB, Tubridy CM, Curran R. The effect of rigid cervical collars on internal jugular vein dimensions. Acad Emerg Med 2010; 17(1): 100-2. doi: 10.1111/j.1553- 2712.2009.00624.x.

5. Carter KJ, Dunham CM, Castro F, Erickson B. Comparative analysis of cervical spine management in a subset of severe traumatic brain injury cases using computer simulation. PloS One 2011; 6(4): e19177. doi: 10.1371/journal. pone.0019177.

6. Craig GR, Nielsen MS. Rigid cervical collars and intracranial pressure. Intensive Care Med 1991; 17(8): 504-5.

7. Davies G, Deakin C, Wilson A. The effect of a rigid collar on intracranial pressure. Injury 1996; 27(9): 647-9.

8. Kuhnigk H, Bomke S, Sefrin P. Effect of external cervical spine immobilization on intracranial pressure. Aktuelle Traumatol 1993; 23(8): 350-3. [In German].

9. Mobbs RJ, Stoodley MA, Fuller J. Effect of cervical hard collar on intracranial pressure after head injury. ANZ J Surg 2002; 72(6): 389-91.

10. Como JJ, Thompson MA, Anderson JS, Shah RR, Claridge JA, Yowler CJ, et al. Is magnetic resonance imaging essential in clearing the cervical spine in obtunded patients with blunt trauma? J Trauma 2007; 63(3): 544-9. doi: 10.1097/ TA.0b013e31812e51ae.

11. Ham W, Schoonhoven L, Schuurmans MJ, Leenen LPH. Pressure ulcers from spinal immobilization in trauma patients: a systematic review. J Trauma Acute Care Surg 2014; 76(4): 1131-41. doi: 10.1097/TA.0000000000000153.

Journal of Emergency Practice and Trauma

Effect of cervical collars on intracranial pressure in patients with head neurotrauma

References

References

Volume 4, Issue 1
January 2018
Pages 1-2

Effect of cervical collars on intracranial pressure in patients with head neurotrauma

References

References

Volume 4, Issue 1January 2018Pages 1-2

Volume 4, Issue 1
January 2018
Pages 1-2