Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
DISCONTINUATION OF CERVICAL-SPINE IMMOBILIZATION IN UNCONSCIOUS PATIENTS WITH TRAUMA IN INTENSIVE-CARE UNITS - TELEPHONE SURVEY OF PRACTICEIN SOUTH AND WEST REGION
Autore:
GUPTA KJ; CLANCY M;
Indirizzi:
ROYAL UNITED HOSP,DEPT ANAESTHESIA BATH BA1 3NG AVON ENGLAND FRENCHAY HOSP,DEPT ANAESTHESIA BRISTOL BS16 1LE AVON ENGLAND BRISTOL ROYAL INFIRM & GEN HOSP,DEPT ACCID & EMERGENCY BRISTOL BS2 8HW AVON ENGLAND
Titolo Testata:
BMJ. British medical journal
fascicolo: 7095, volume: 314, anno: 1997,
pagine: 1652 - 1655
SICI:
0959-8138(1997)314:7095<1652:DOCIIU>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
RADIOLOGIC EVALUATION; COMPUTED-TOMOGRAPHY; BLUNT TRAUMA; FRACTURES; RADIOGRAPHY; INJURY; LIMITATIONS; DIAGNOSIS; VICTIMS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
K.J. Gupta e M. Clancy, "DISCONTINUATION OF CERVICAL-SPINE IMMOBILIZATION IN UNCONSCIOUS PATIENTS WITH TRAUMA IN INTENSIVE-CARE UNITS - TELEPHONE SURVEY OF PRACTICEIN SOUTH AND WEST REGION", BMJ. British medical journal, 314(7095), 1997, pp. 1652-1655

Abstract

Objective: To study ho cv the cervical spine is assessed before discontinuation of cervical spine immobilisation in unconscious trauma patients in intensive fare units. Design: Telephone interview of consultants responsible for adult intensive care units. Setting: All 25 intensive care units in the South and West region that admit victims of majortrauma. Main outcome measures: The clinical and radiological basis onwhich the decision is made to stop cervical spine immobilisation in unconscious patients Results: in 19 units cervical spine immobilisationwas stopped in unconscious patients on the basis of radiology alone, and six units combined radiology with clinical examination after the patient had regained consciousness, Sixteen units relied on a normal lateral radiological view of the cervical spine alone, five required a normal lateral and anteroposterior view, and four required a normal lateral, anteroposterior, and open mouth pig view. Conclusions: There areinconsistencies in the clinical and radiological approach to assessing the cervical spine in unconscious patients with trauma before the removal of immobilisation precautions. There is an overreliance on tile lateral cervical spine view alone, which has been shown to be insensitive in this setting.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/09/20 alle ore 14:44:10