• English
    • íslenska
  • English 
    • English
    • íslenska
  • Login
View Item 
  •   Home
  • Journal Articles, Peer Reviewed (Ritrýndar vísindagreinar)
  • English Journal Articles (Peer Reviewed)
  • View Item
  •   Home
  • Journal Articles, Peer Reviewed (Ritrýndar vísindagreinar)
  • English Journal Articles (Peer Reviewed)
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Browse

All of HirslaCommunitiesAuthorsTitleSubjectsSubject (MeSH)Issue DateJournalThis CollectionAuthorsTitleSubjectsSubject (MeSH)Issue DateJournal

My Account

LoginRegister

Local Links

FAQ - (Icelandic)FAQ - (English)Hirsla LogosAbout LandspitaliLSH Home PageLibrary HomeIcelandic Journals

Statistics

Display statistics

Does turning trauma patients with an unstable spinal injury from the supine to a lateral position increase the risk of neurological deterioration?--A systematic review.

  • CSV
  • RefMan
  • EndNote
  • BibTex
  • RefWorks
Thumbnail
Name:
art_0143.pdf
Size:
3.539Mb
Format:
PDF
Download
Average rating
 
   votes
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item. When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
 
Your vote was cast
Thank you for your feedback
Authors
Hyldmo, Per Kristian
Vist, Gunn E
Feyling, Anders Christian
Rognås, Leif
Magnusson, Vidar
Sandberg, Mårten
Søreide, Eldar
Issue Date
2015

Metadata
Show full item record
Citation
Scand J Trauma Resusc Emerg Med. 2015, 23:65
Abstract
Airway protection and spinal precautions are competing concerns in the treatment of unconscious trauma patients. The placement of such patients in a lateral position may facilitate the acquisition of an adequate airway. However, trauma dogma dictates that patients should be transported in the supine position to minimize spinal movement. In this systematic review, we sought to answer the following question: Given an existing spinal injury, will changing a patient's position from supine to lateral increase the risk of neurological deterioration?
The review protocol was published in the PROSPERO database (Reg. no. CRD42012001190). We performed literature searches in PubMed, Medline, EMBASE, the Cochrane Library, CINAHL and the British Nursing Index and included studies of traumatic spinal injury, lateral positioning and neurological deterioration. The search was updated prior to submission. Two researchers independently completed each step in the review process.
We identified 1,164 publications. However, none of these publications reported mortality or neurological deterioration with lateral positioning as an outcome measure. Twelve studies used movement of the injured spine with lateral positioning as an outcome measure; eleven of these investigations were cadaver studies. All of these cadaver studies reported spinal movement during lateral positioning. The only identified human study included eighteen patients with thoracic or lumbar spinal fractures; according to the study authors, the logrolling technique did not result in any neurological deterioration among these patients.
We identified no clinical studies demonstrating that rotating trauma patients from the supine position to a lateral position affects mortality or causes neurological deterioration. However, in various cadaver models, this type of rotation did produce statistically significant displacements of the injured spine. The clinical significance of these cadaver-based observations remains unclear. The present evidence for harm in rotating trauma patients from the supine position to a lateral position, including the logroll maneuver, is inconclusive.
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.
Additional Links
http://dx.doi.org/10.1186/s13049-015-0143-x
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573694/
Rights
Archived with thanks to Scandinavian journal of trauma, resuscitation and emergency medicine
ae974a485f413a2113503eed53cd6c53
10.1186/s13049-015-0143-x
Scopus Count
Collections
English Journal Articles (Peer Reviewed)

entitlement

Related articles

  • Is the supine position associated with loss of airway patency in unconscious trauma patients? A systematic review and meta-analysis.
  • Authors: Hyldmo PK, Vist GE, Feyling AC, Rognås L, Magnusson V, Sandberg M, Søreide E
  • Issue date: 2015 Jul 1
  • Does the novel lateral trauma position cause more motion in an unstable cervical spine injury than the logroll maneuver?
  • Authors: Hyldmo PK, Horodyski M, Conrad BP, Aslaksen S, Røislien J, Prasarn M, Rechtine GR, Søreide E
  • Issue date: 2017 Nov
  • Total motion generated in the unstable thoracolumbar spine during management of the typical trauma patient: a comparison of methods in a cadaver model.
  • Authors: Prasarn ML, Zhou H, Dubose D, Rossi GD, Conrad BP, Horodyski M, Rechtine GR
  • Issue date: 2012 May
  • Comparison of thoracolumbar motion produced by manual and Jackson-table-turning methods. Study of a cadaveric instability model.
  • Authors: DiPaola CP, DiPaola MJ, Conrad BP, Horodyski M, Del Rossi G, Sawers A, Rechtine GR 2nd
  • Issue date: 2008 Aug
  • Total motion generated in the unstable cervical spine during management of the typical trauma patient: a comparison of methods in a cadaver model.
  • Authors: Prasarn ML, Horodyski M, Dubose D, Small J, Del Rossi G, Zhou H, Conrad BP, Rechtine GR
  • Issue date: 2012 May 15

DSpace software (copyright © 2002 - 2021)  DuraSpace
Quick Guide | Contact Us
Open Repository is a service operated by 
Atmire NV
 

Export search results

The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.