Effects of the cervical collar on cerebrospinal fluid pressure.

Abstract:

:We investigated the hypothesis that cervical collars might compress the internal jugular veins and raise intracranial pressure in head-injured patients. In a randomised, single-blind, crossover study of nine patients scheduled for elective spinal anaesthesia the cerebrospinal fluid pressure in the lumbar subarachnoid space was measured with and without a 'Stifneck' cervical collar applied. There was a significant elevation of cerebrospinal fluid pressure in seven of the patients studied when the cervical collar was applied (p < 0.01). This preliminary study raises the possibility that immobilisation of the cervical spine with the 'Stifneck' cervical collar may, by raising the intracranial pressure, contribute to secondary neurological injury in head-injured patients in whom intracranial compliance is already reduced.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Raphael JH,Chotai R

doi

10.1111/j.1365-2044.1994.tb03482.x

subject

Has Abstract

pub_date

1994-05-01 00:00:00

pages

437-9

issue

5

eissn

0003-2409

issn

1365-2044

journal_volume

49

pub_type

临床试验,杂志文章,随机对照试验
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    pub_type: 临床试验,杂志文章,随机对照试验

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    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

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    doi:10.1111/j.1365-2044.1990.tb14569.x

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    pub_type: 临床试验,杂志文章

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