Работа выполнена в соответствии с темой Государственного задания, проект № АААА-А19-119011790134-1

Anders Feyling (3561215)

Eldar Søreide (3561203)

Gunn Vist (3561212)

Leif Rognås (3533045)

Mårten Sandberg (3561209)

Per Hyldmo (3561206)

Vidar Magnusson (3561200)

Scandinavian Journal of Trauma Resuscitation and Emergency Medicine

PubMed

Per Kristian Hyldmo

Gunn E. Vist

Anders Christian Feyling

Leif Rognås

Vidar Magnusson

Mårten Sandberg

Eldar Søreide

Springer - Publisher Connector

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

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Additional file 1: of 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

Background
                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?
              
              
                Methods
                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.
              
              
                Results
                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.
              
              
                Conclusions
                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

Hyldmo, Per K

Vist, Gunn E

Feyling, Anders C

Rognås, Leif

Magnusson, Vidar

Sandberg, Mårten

Søreide, Eldar

NORA - Norwegian Open Research Archives

Тишин, Д. С.

Шадрина, Е. В.

Хонина, Т. Г.

Саблина, С. Н.

Григорьев, С. С.

Institutional repository of Ural Federal University named after the first President of Russia B.N.Yeltsin

ПОЛИОЛАТЫ КРЕМНИЯ И ТИТАНА – НОВЫЕ БИОСОВМЕСТИМЫЕ ПРЕКУРСОРЫ В БИОМИМЕТИЧЕСКОЙ ЗОЛЬ-ГЕЛЬ МИНЕРАЛИЗАЦИИ ПОЛИСАХАРИДОВ

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.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

Hyldmo, Per Kristian

Feyling, Anders Christian

Hirsla - Landspítali University Hospital

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.

Landspítali University Hospital Research Archive

This article was originally published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made.Background

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?
Methods

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.
Results

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.
Conclusions

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

ПОЛИОЛАТЫ КРЕМНИЯ И ТИТАНА – НОВЫЕ БИОСОВМЕСТИМЫЕ ПРЕКУРСОРЫ В БИОМИМЕТИЧЕСКОЙ ЗОЛЬ-ГЕЛЬ МИНЕРАЛИЗАЦИИ ПОЛИСАХАРИДОВ

Abstract

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NORA - Norwegian Open Research Archives

Institutional repository of Ural Federal University named after the first President of Russia B.N.Yeltsin

Hirsla - Landspítali University Hospital

Landspítali University Hospital Research Archive

Springer - Publisher Connector

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HSN Open Archive