Magnitude of Intracranial Pressure Changes Following Rigid External Cervical Collar Immobilization in Cases Sustaining Traumatic Brain Injury: Impact Analysis Current Status

摘要

Rigid collars are routinely used to immobilise the cervical spine during early phase of management of trauma cases until cervical clearance is obtained or else diagnosed as case of cervical spine injury following detailed clinical as well as neurological evaluation. Spinal injuries commonly coexist in patients sustaining severe head injury. Till date, there is no clear cut consensus about effect of application of a rigid collar in cases suffering with traumatic brain injury. However, concern are regularly raised over collar application, such practice may have adverse effect on cerebrovascular regulation and ultimately affecting intracranial pressure and outcome. Authors made detailed Pubmed, EMBASE, AMED, and Thomson Reuters, Medline line search and could find out six articles. According to existing literature, the cervical collar has the potential to influence intracranial pressure in patients suffering with head injury. There are several reports in the literature showing that cervical immobilization may alter intracranial pressure and the changes in ICP closely depend on the types of cervical collars used. Authors discuss the current status based on review of updated literature on possible effect on the intracranial pressure produced by application of rigid cervical collar and briefly literature is reviewed.