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C-spine immobilation

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https://www.readbyqxmd.com/read/27755056/a-comparison-between-the-conventional-and-the-laryngoscope-assisted-lightwand-intubation-techniques-in-patients-with-cervical-immobilization-a-prospective-randomized-study
#1
Eugene Kim, Byung-Gun Kim, Young-Jin Lim, Young-Tae Jeon, Jung-Won Hwang, Seo-Yun Lee, Hee-Pyoung Park
BACKGROUND: Positioning of a lightwand in the midline of the oral cavity can be challenging in patients with cervical immobilization. Direct laryngoscopy may permit the lightwand tip to more easily access the glottic opening. We tested our hypothesis that a laryngoscope-assisted lightwand technique allows more successful endotracheal intubation than does a conventional lightwand approach. METHODS: A total of 162 patients requiring cervical immobilization during intubation for cervical spine surgery were allocated randomly to 2 groups...
October 11, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27357352/-parameters-influencing-the-preclinical-application-of-cervical-collars
#2
M Kreinest, S Goller, G Rauch, B Gliwitzky, C Frank, S Matschke, C G Wölfl, M Münzberg
BACKGROUND: The application of cervical collars is a standard procedure in emergency care of trauma patients. It is often observed that the application of cervical collars is performed incorrectly, which may lead to reduced immobilization of the cervical spine. OBJECTIVES: The objective of this study was to analyze the practical skills of professional emergency care providers concerning the application of cervical collars. MATERIALS AND METHODS: Emergency care professionals (n = 104) were asked to apply a cervical collar to a training doll...
June 29, 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27221307/-spondylodiscitis-in-children-and-adolescents
#3
A Völker, S Schubert, C-E Heyde
BACKGROUND: Spondylodiscitis in children is rare. The condition has an incidence of 2 to 4 % of all infectious skeletal diseases in children. AIM: Aim of the article is the presentation of epidemiology, the clinical signs, radiological findings as well the treatment options of non-specific and specific spondylodiscitis in children. METHODS: The available literature was reviewed. RESULTS: Non-specific spondylodiscitis in children is caused by haematogenous spread of pathogens...
June 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27185677/comparison-of-the-c-mac-video-laryngoscope-to-a-flexible-fiberoptic-scope-for-intubation-with-cervical-spine-immobilization
#4
Roya Yumul, Ofelia L Elvir-Lazo, Paul F White, Omar Durra, Alen Ternian, Richard Tamman, Robert Naruse, Hailu Ebba, Taizoon Yusufali, Robert Wong, Antonio Hernandez Conte, Shahbaz Farnad, Christine Pham, Ronald H Wender
STUDY OBJECTIVE: To compare the C-MAC video laryngoscope to the standard flexible fiberoptic scope (FFS) with an eye piece (but without a camera or a video screen) for intubation of patients undergoing cervical spine surgery with manual inline stabilization. The primary end point was the time to achieve successful tracheal intubation. Secondary end points included glottic view at intubation and number of intubation attempts. DESIGN: Prospective, randomized, single-blinded study...
June 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27001885/comparison-of-macintosh-mccoy-and-c-mac-d-blade-video-laryngoscope-intubation-by-prehospital-emergency-health-workers-a-simulation-study
#5
Ahmet Yildirim, Hasan A Kiraz, İbrahim Ağaoğlu, Okhan Akdur
The aim of the this study is to evaluate the intubation success rates of emergency medical technicians using a Macintosh laryngoscope (ML), McCoy laryngoscope (MCL), and C MAC D-Blade (CMDB) video laryngoscope on manikin models with immobilized cervical spines. This randomized crossover study included 40 EMTs with at least 2 years' active service in ambulances. All participating technicians completed intubations in three scenarios-a normal airway model, a rigid cervical collar model, and a manual in-line cervical stabilization model-with three different laryngoscopes...
March 21, 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/26821978/glutamatergic-mechanisms-of-comorbidity-between-acute-stress-and-cocaine-self-administration
#6
C Garcia-Keller, Y M Kupchik, C D Gipson, R M Brown, S Spencer, F Bollati, M A Esparza, D J Roberts-Wolfe, J A Heinsbroek, A-C Bobadilla, L M Cancela, P W Kalivas
There is substantial comorbidity between stress disorders and substance use disorders (SUDs), and acute stress augments the locomotor stimulant effect of cocaine in animal models. Here we endeavor to understand the neural underpinnings of comorbid stress disorders and drug use by determining whether the glutamatergic neuroadaptations that characterize cocaine self-administration are induced by acute stress. Rats were exposed to acute (2 h) immobilization stress, and 3 weeks later the nucleus accumbens core was examined for changes in glutamate transport, glutamate-mediated synaptic currents and dendritic spine morphology...
August 2016: Molecular Psychiatry
https://www.readbyqxmd.com/read/26790982/simultaneously-combined-anterior-posterior-approaches-for-subaxial-cervical-circumferential-reconstruction-in-a-sitting-position
#7
Yue Han, Qun Xia, Yong-cheng Hu, Ji-dong Zhang, Jie Lan, Xin-long Ma
The purpose of this article is to introduce and analyze the feasibility of simultaneously combined anterior-posterior approaches for subaxial cervical circumferential reconstruction in sitting position. A retrospective case review was performed for above surgery procedure. A 79-year-old man was confirmed subaxial cervical fracture and dislocation with facet locked by radiological examination, and the involved levels were C5-6. According to American Spinal Injury Association (ASIA) classification, the impairment scale was grade B...
November 2015: Orthopaedic Surgery
https://www.readbyqxmd.com/read/26764283/emergency-radiology-straightening-of-the-cervical-spine-in-mdct-after-trauma-a-sign-of-injury-or-normal-variant
#8
Ulrich Linsenmaier, Zsuszsanna Deak, Aina Krtakovska, Francesco Ruschi, Nora Kammer, Stefan Wirth, Maximilian Reiser, Lucas Geyer
OBJECTIVE: To evaluate whether straightening of the cervical spine (C-spine) alignment after trauma can be considered a significant multidetector CT (MDCT) finding. METHODS: 160 consecutive patients after C-spine trauma admitted to a Level 1 trauma centre received MDCT according to Canadian Cervical Spine Rule and National Emergency X-Radiography Utilization Study indication rule; subgroups with and without cervical collar immobilization (CCI +/-) were compared with a control group (n = 20) of non-traumatized patients...
2016: British Journal of Radiology
https://www.readbyqxmd.com/read/26725922/comparison-of-the-c-mac-videolaryngoscope-and-rigid-fiberscope-with-direct-laryngoscopy-in-easy-and-difficult-airway-scenarios-a-manikin-study
#9
Atilla Kaplan, Erkan Göksu, Gunay Yıldız, Taylan Kılıç
BACKGROUND: Intubation is a fundamental skill in maintaining adequate oxygenation and ventilation of seriously ill patients. OBJECTIVES: To compare the C-MAC video laryngoscope and Bonfils intubation fiberscope with direct laryngoscopy in simulated easy and difficult airway scenarios. METHODS: This was a prospective, randomized-controlled cross-sectional study. Thirty emergency medicine residents attempted to intubate a manikin using four progressively more difficult airway settings (normal airway [scenario 1], cervical spine immobilization [scenario 2], cervical spine immobilization + tongue swelling scenario [scenario 3], and cervical spine immobilization + tongue swelling + limited jaw opening scenario [scenario 4]) with both the C-MAC video laryngoscope and the Bonfils intubation fiberscope and direct laryngoscope...
March 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26703049/characteristics-of-cervical-spine-injury-in-pediatric-patients-with-facial-fractures
#10
COMPARATIVE STUDY
Jordan N Halsey, Ian C Hoppe, Andrew A Marano, Anthony M Kordahi, Edward S Lee, Mark S Granick
OVERVIEW: Cervical spine injury may present with pediatric patients having sustained fractures of the craniofacial skeleton. Management considerations of the cervical spine often take priority to the fractures of the facial skeleton. The goal of this study was to examine this subset of patients with a focus on initial presentation and need for intervention. METHODS: A retrospective review from 2000 to 2012 of all facial fractures in patients ≤ 18 years at a level 1 trauma center was performed...
January 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/26700751/management-of-incidental-dural-tear-during-lumbar-spine-surgery-to-suture-or-not-to-suture
#11
COMPARATIVE STUDY
Maria Kamenova, Severina Leu, Luigi Mariani, Stefan Schaeren, Jehuda Soleman
OBJECTIVE: Incidental durotomy (ID) during lumbar spine surgery is a frequent complication of growing clinical relevance as the number and complexity of spinal procedures increases. Yet, there is still a lack of guidelines for the treatment of ID with a large heterogeneity of established surgical techniques. The aim of this study was to investigate the efficacy of dural suturing in patients having ID during degenerative lumbar spine surgery, compared with other dural closure techniques...
March 2016: World Neurosurgery
https://www.readbyqxmd.com/read/26603596/evaluation-of-initial-setup-accuracy-and-intrafraction-motion-for-spine-stereotactic-body-radiation-therapy-using-stereotactic-body-frames
#12
Zhaohui Han, John C Bondeson, John H Lewis, Edward G Mannarino, Scott A Friesen, Matthew M Wagar, Tracy A Balboni, Brian M Alexander, Nils D Arvold, David J Sher, Fred L Hacker
PURPOSE: The purposes of this study were (1) to evaluate the initial setup accuracy and intrafraction motion for spine stereotactic body radiation therapy (SBRT) using stereotactic body frames (SBFs) and (2) to validate an in-house-developed SBF using a commercial SBF as a benchmark. METHODS AND MATERIALS: Thirty-two spine SBRT patients (34 sites, 118 fractions) were immobilized with the Elekta and in-house (BHS) SBFs. All patients were set up with the Brainlab ExacTrac system, which includes infrared and stereoscopic kilovoltage x-ray-based positioning...
January 2016: Practical Radiation Oncology
https://www.readbyqxmd.com/read/26174747/-comparison-of-five-video-laryngoscopes-and-conventional-direct-laryngoscopy-investigations-on-simple-and-simulated-difficult-airways-on-the-intubation-trainer
#13
COMPARATIVE STUDY
K Ruetzler, S Imach, M Weiss, T Haas, A R Schmidt
INTRODUCTION: Securing the airway with a tracheal tube is essential in emergency situations, in the intensive care setting as well as during anesthesia for surgery and other interventions. Current methods of airway assessment are poor screening tests for predicting difficult direct laryngoscopy due to a generally low positive predictive value; therefore, successful endotracheal intubation requires a high level of expertise, regular training and practice and sometimes additional tools...
July 2015: Der Anaesthesist
https://www.readbyqxmd.com/read/26133898/alternative-intubation-techniques-vs-macintosh-laryngoscopy-in-patients-with-cervical-spine-immobilization-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#14
REVIEW
L Suppan, M R Tramèr, M Niquille, O Grosgurin, C Marti
BACKGROUND: Immobilization of the cervical spine worsens tracheal intubation conditions. Various intubation devices have been tested in this setting. Their relative usefulness remains unclear. METHODS: We searched MEDLINE, EMBASE, and the Cochrane Library for randomized controlled trials comparing any intubation device with the Macintosh laryngoscope in human subjects with cervical spine immobilization. The primary outcome was the risk of tracheal intubation failure at the first attempt...
January 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26121894/comparison-between-c-mac-video-laryngoscope-and-macintosh-direct-laryngoscope-during-cervical-spine-immobilization
#15
RANDOMIZED CONTROLLED TRIAL
Shahir H M Akbar, Joanna S M Ooi
BACKGROUND: Video-laryngoscopes have gained popularity in the recent years and have shown definite advantages over the conventional Macintosh direct laryngoscopes. However, there is still insufficient evidence comparing the C-MAC with the Macintosh for patients during manual inline stabilization (MILS). METHODS: This prospective, randomized, single blind study was carried out to compare tracheal intubation using the C-MAC video-laryngoscope and Macintosh laryngoscope in patients during MILS...
February 2015: Middle East Journal of Anesthesiology
https://www.readbyqxmd.com/read/26100769/cervical-spine-injury-in-dismounted-improvised-explosive-device-trauma
#16
Joseph Taddeo, Melissa Devine, Vivian C McAlister
BACKGROUND: The injury pattern from improvised explosive device (IED) trauma is different if the target is in a vehicle (mounted) or on foot (dismounted). Combat and civilian first response protocols require the placement of a cervical collar on all victims of a blast injury. METHODS: We searched the Joint Theatre Trauma Registry (JTTR) and the Role 3 Hospital, Kandahar Airfield (KAF) database from Mar. 1, 2008, to May 31, 2011. We collected data on cervical fracture; head injury; traumatic amputation; initial blood pressure, pulse, injury severity score (ISS), Glasgow Coma Scale (GCS) score and base excess; and patient demographic information...
June 2015: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/25974380/emergent-access-to-the-airway-and-chest-in-american-football-players
#17
COMPARATIVE STUDY
Erik E Swartz, Jason P Mihalik, Laura C Decoster, Sossan Al-Darraji, Justin Bric
CONTEXT: American football has the highest rate of fatalities and catastrophic injuries of any US sport. The equipment designed to protect athletes from these catastrophic events challenges the ability of medical personnel to obtain neutral spine alignment and immobilization during airway and chest access for emergency life-support delivery. OBJECTIVE: To compare motion, time, and difficulty during removal of American football helmets, face masks, and shoulder pads...
July 2015: Journal of Athletic Training
https://www.readbyqxmd.com/read/25892721/emergency-department-evaluation-and-treatment-of-cervical-spine-injuries
#18
REVIEW
Rajdeep Kanwar, Bronson E Delasobera, Korin Hudson, William Frohna
Most spinal cord injuries involve the cervical spine, highlighting the importance of recognition and proper management by emergency physicians. Initial cervical spine injury management should follow the ABCDE (airway, breathing, circulation, disability, exposure) procedure detailed by Advanced Trauma Life Support. NEXUS (National Emergency X-Radiography Utilization Study) criteria and Canadian C-spine Rule are clinical decision-making tools providing guidelines of when to obtain imaging. Computed tomography scans are the preferred initial imaging modality...
May 2015: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/25871023/principles-of-primary-survey-and-resuscitation-in-cases-of-pediatric-trauma
#19
Saba Jafarpour, Seyed Javad Nassiri, Ali Bidari, Mojtaba Chardoli, Vafa Rahimi-Movaghar
Trauma is a common cause of death and disability in children. Proper approach to pediatric trauma involves adherence to ABCDE sequence in the primary survey and resuscitation in order to promptly recognize and manage life-threatening conditions immediately. This readily reviewed sequence includes A: establishment and maintenance of a patent airway while maintaining cervical spine immobilization; B: evaluation of breathing, ventilation and oxygenation, immediate treatment of tension pneumothorax, open pneumothorax and massive hemothorax; C: evaluation and treatment of circulatory compromise and shock; D: Disability and Neurologic Status, assessment of signs of increased intracranial pressure and impending cerebral herniation; and E: Exposure while preventing hypothermia...
2015: Acta Medica Iranica
https://www.readbyqxmd.com/read/25784068/-a-new-protocol-is-the-spine-still-safe
#20
Marike C Kokke, Wietske Ham, Loek P H Leenen
The latest version of the Dutch National Protocol Ambulance Care (Landelijk Protocol Ambulancezorg LPA8), introduced on 1 January 2015, contains too few guarantees of the safety of trauma patients in whom spinal immobilisation has to be performed. A number of strict indications have been removed and too much freedom is also permitted with respect to implementation. Although the previous standard method using a spinal board, collar and blocks did have disadvantages, the new operating method has been insufficiently substantiated and, in addition, is not well matched to the protocols of Accident and Emergency departments...
2015: Nederlands Tijdschrift Voor Geneeskunde
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