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

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Volumn 23, Issue 1, 2015, Pages

  Hyldmo, Per Kristian ^a,b   Vist, Gunn E ^b   Feyling, Anders Christian ^c   Rognås, Leif ^b   Magnusson, Vidar ^d   Sandberg, Mårten ^c,e   Søreide, Eldar ^f,g  

^a DEPARTMENT OF RESEARCH AND DEVELOPMENT   (Norway)

^b Sørlandet Hospital Department of Anesthesiology and Intensive Care ^*  (Denmark)

^c OSLO UNIVERSITY HOSPITAL   (Norway)

^d LANDSPITALI UNIVERSITY HOSPITAL   (Iceland)

^e UNIVERSITY OF OSLO   (Norway)

^f UNIVERSITY OF STAVANGER   (Norway)

^g STAVANGER UNIVERSITY HOSPITAL   (Norway)

Author keywords

[No Author keywords available]

Indexed keywords

ADVERSE EFFECTS; AIRWAY OBSTRUCTION; EMERGENCY HEALTH SERVICE; HUMAN; PATHOPHYSIOLOGY; PATIENT POSITIONING; PATIENT TRANSPORT; SPINAL INJURIES; SUPINE POSITION; UNCONSCIOUSNESS;

AIRWAY OBSTRUCTION; EMERGENCY MEDICAL SERVICES; HUMANS; PATIENT POSITIONING; SPINAL INJURIES; SUPINE POSITION; TRANSPORTATION OF PATIENTS; UNCONSCIOUSNESS;

EID: 84941759896     PISSN: None     EISSN: 17577241     Source Type: Journal    
DOI: 10.1186/s13049-015-0143-x     Document Type: Article

References (43)

1. Handley AJ, Koster R, Monsieurs K, Perkins GD, Davies S, Bossaert L. European resuscitation council guidelines for resuscitation 2005. Section 2. Adult basic life support and use of automated external defibrillators. Resuscitation. 2005;67 Suppl 1:S7-23.
2. Deakin CD, Nolan JP, Soar J, Sunde K, Koster RW, Smith GB, et al. European resuscitation council guidelines for resuscitation 2010 section 4. Adult advanced life support. Resuscitation. 2010;81:1305-52.
3. PHTLS Committee of NAEMT. Spinal Trauma. In: McSwain NE, editor. PHTLS - Basic and Advanced Prehospital Trauma Life Support. 7th ed. St. Louis: Mosby JEMS, Elsevier; 2011.
4. American College of Surgeons Committee on Trauma. Spine and Spinal Cord Trauma. In: Rotondo MF, editor. Advanced Trauma Life Support for Doctors - Student Course Manual. 9th ed. Chicago: American College of Surgeons; 2012. p. 174-205.
5. Kwan I, Bunn F, Roberts IG. Spinal immobilisation for trauma patients. Cochrane Database Syst Rev. 2001;2:CD002803.
6. Hauswald M, Ong G, Tandberg D, Omar Z. Out-of-hospital spinal immobilization: its effect on neurologic injury. Acad Emerg Med. 1998;5:214-9.
7. Hauswald M. A re-conceptualisation of acute spinal care. Emerg Med J. 2013;30:720-3.
8. Sundstrom T, Asbjornsen H, Habiba S, Sunde GA, Wester K. Prehospital use of cervical collars in trauma patients: a critical review. J Neurotrauma. 2014;31:531-40.
9. Haut ER, Kalish BT, Efron DT, Haider AH, Stevens KA, Kieninger AN, et al. Spine immobilization in penetrating trauma: more harm than good? J Trauma. 2010;68:115-20. discussion 120-111.
10. Stiell IG, Nesbitt LP, Pickett W, Munkley D, Spaite DW, Banek J, et al. The OPALS major trauma study: impact of advanced life-support on survival and morbidity. CMAJ. 2008;178:1141-52.
11. Davis DP, Peay J, Sise MJ, Vilke GM, Kennedy F, Eastman AB, et al. The impact of prehospital endotracheal intubation on outcome in moderate to severe traumatic brain injury. J Trauma. 2005;58:933-9.
12. Jayaraman S, Sethi D. Advanced trauma life support training for ambulance crews. Cochrane Database Syst Rev. 2010;1:CD003109.
13. Muckart DJ, Bhagwanjee S, van der Merwe R. Spinal cord injury as a result of endotracheal intubation in patients with undiagnosed cervical spine fractures. Anesthesiology. 1997;87:418-20.
14. Berlac P, Hyldmo PK, Kongstad P, Kurola J, Nakstad AR, Sandberg M. Pre-hospital airway management: guidelines from a task force from the Scandinavian society for anaesthesiology and intensive care medicine. Acta Anaesthesiol Scand. 2008;52:897-907.
15. Fattah S, Ekas GR, Hyldmo PK, Wisborg T. The lateral trauma position: What do we know about it and how do we use it? A cross-sectional survey of all Norwegian emergency medical services. Scand J Trauma Resusc Emerg Med. 2011;19:45.
16. Hyldmo PK, Vist G, Feyling AC, Rognås L, Magnusson V, Sandberg M, et al. Is the supine position associated with loss of airway patency in unconscious trauma patients? A systematic review and meta-analysis. Scand J Trauma Resusc Emerg Med. 2015;23:50.
17. Hyldmo PK, Vist G, Søreide E, Rognås L, Magnusson V, Feyling AC. Is the lateral position a safe and useful method for basic airway management in trauma? PROSEPERO Database, 2012: CRD42012001190.
18. O'Connor D, Green S, Higgins JPT. Defining the Review Question and Developing Criteria for Including Studies. In: Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions. Chichester: John Wiley & Sons Ltd; 2008. p. 83-94.
19. Moher D, Liberati A, Tetzlaff J, Altman DG, Prisma Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;339:b2535.
20. Higgins JPT, Altman DG. Assessing Risk of Bias in Included Studies. In: Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions. Chichester: John Wiley & Sons Ltd; 2008. p. 187-241.
21. The Norwegian Knowledge Centre for the Health Services (Nasjonalt kunnskapssenter for helsetjenesten. Sjekklister for vurdering av forskningsartikler. 2012: http://www.kunnskapssenteret.no/verktoy/sjekklister-for-vurdering-av-forskningsartikler . Last accessed 28 Febr 2015.
22. Balshem H, Helfand M, Schunemann HJ, Oxman AD, Kunz R, Brozek J, et al. GRADE guidelines: rating the quality of evidence - introduction. J Clin Epidemiol. 2011;64(4):401-6.
23. Conrad BP, Horodyski M, Wright J, Ruetz P, Rechtine 2nd GR. Log-rolling technique producing unacceptable motion during body position changes in patients with traumatic spinal cord injury. J Neurosurg Spine. 2007;6:540-3.
24. Del Rossi G, Heffernan TP, Horodyski M, Rechtine GR. The effectiveness of extrication collars tested during the execution of spine-board transfer techniques. Spine J. 2004;4:619-23.
25. Del Rossi G, Horodyski M, Heffernan TP, Powers ME, Siders R, Brunt D, et al. Spine-board transfer techniques and the unstable cervical spine. Spine (Phila Pa 1976). 2004;29:E134-138.
26. Del Rossi G, Horodyski MH, Conrad BP, Di Paola CP, Di Paola MJ, Rechtine GR. The 6-plus-person lift transfer technique compared with other methods of spine boarding. J Athl Train. 2008;43:6-13.
27. Del Rossi G, Rechtine GR, Conrad BP, Horodyski M. Are scoop stretchers suitable for use on spine-injured patients? Am J Emerg Med. 2010;28:751-6.
28. Horodyski M, Conrad BP, Del Rossi G, DiPaola CP, Rechtine 2nd GR. Removing a patient from the spine board: is the lift and slide safer than the log roll? J Trauma. 2011;70:1282-5. discussion 1285.
29. Prasarn ML, Horodyski M, Dubose D, Small J, Del Rossi G, Zhou H, et al. Total motion generated in the unstable cervical spine during management of the typical trauma patient: a comparison of methods in a cadaver model.[Erratum appears in Spine (Phila Pa 1976). 2012 Aug 1;37(17):1535]. Spine. 2012;37:937-42.
30. Rechtine GR, Conrad BP, Bearden BG, Horodyski M. Biomechanical analysis of cervical and thoracolumbar spine motion in intact and partially and completely unstable cadaver spine models with kinetic bed therapy or traditional log roll. J Trauma. 2007;62:383-8. discussion 388.
31. Rubery PT, Brown R, Prasarn M, Small J, Conrad B, Horodyski M, et al. Stabilization of 2-column thoracolumbar fractures with orthoses: a cadaver model. Spine. 2013;38:E270-275.
32. Prasarn ML, Zhou HT, Dubose D, Del Rossi G, Conrad BP, Horodyski M, et al. Total motion generated in the unstable thoracolumbar spine during management of the typical trauma patient: a comparison of methods in a cadaver model Laboratory investigation. J Neurosurg Spine. 2012;16:504-8.
33. Del RG, Horodyski M, Conrad BP, DiPaola CP, Dipaola MJ, Rechtine GR. Transferring patients with thoracolumbar spinal instability: are there alternatives to the log roll maneuver? Spine. 2008;33:1611-5.
34. Del Rossi G, Horodyski M, Conrad BP, Dipaola CP, Dipaola MJ, Rechtine GR. Transferring patients with thoracolumbar spinal instability: are there alternatives to the log roll maneuver? Spine (Phila Pa 1976). 2008;33:1611-5.
35. Rao S, Badani KM, Kumar J, McGuire P. Effect of the log-rolling maneuver on the unstable fractured spine. Neuro-Orthopedics. 1993;15:25-30.
36. McGuire RA, Neville S, Green BA, Watts C. Spinal instability and the log-rolling maneuver. J Trauma-Injury Infect Crit Care. 1987;27:525-31.
37. Rogers WA. Fractures and dislocations of the cervical spine; an end-result study. J Bone Joint Surg Am. 1957;39-A:341-76.
38. Geisler WO, Wynne-Jones M, Jousse AT. Early management of the patient with trauma to the spinal cord. Med Serv J Can. 1966;22:512-23.
39. Toscano J. Prevention of neurological deterioration before admission to a spinal cord injury unit. Paraplegia. 1988;26:143-50.
40. Ducker TB, Salcman M, Perot Jr PL, Ballantine D. Experimental spinal cord trauma, I: correlation of blood flow, tissue oxygen and neurologic status in the dog. Surg Neurol. 1978;10:60-3.
41. Todd NV, Skinner D, Wilson-MacDonald J. Secondary neurological deterioration in traumatic spinal injury: data from medicolegal cases. Bone Joint J. 2015;97-B:527-31.
42. Concato J, Shah N, Horwitz RI. Randomized, controlled trials, observational studies, and the hierarchy of research designs. N Engl J Med. 2000;342:1887-92.
43. Benson K, Hartz AJ. A comparison of observational studies and randomized, controlled trials. N Engl J Med. 2000;342:1878-86.