Optic Nerve Sheath Diameter, Ultrasonography
Conditions
Keywords
cervical collar, sonography, adult patients, Optic nerve sheath diameter, Ultrasonography
Brief summary
The routine use of cervical collar in emergency medical conditions has recently been questioned. The application of cervical collars, as their opponents point out, results in deterioration of intubation conditions, intensification of pain in the region of mastoid processes, and impaired venous outflow from the head.
Interventions
DEVICEAmbu Perfect ACE
patient with a fitted cervical collar (Ambu Perfect ACE) established by an experienced instructor. Cervical collar set up for 20 minutes
DEVICEPhilly One-Peace Collar
patient with a fitted cervical collar (Philly One-Peace Collar) established by an experienced instructor. Cervical collar set up for 20 minutes
DEVICENecloc Collar
patient with a fitted cervical collar (Neclock Collar) established by an experienced instructor. Cervical collar set up for 20 minutes
DEVICENexSplit Plus
patient with a fitted cervical collar (NexSplit Plus) established by an experienced instructor. Cervical collar set up for 20 minutes
DEVICENECKLITE
patient with a fitted cervical collar (NECKLITE) established by an experienced instructor. Cervical collar set up for 20 minutes
Sponsors
Wroclaw Medical University
The Cleveland Clinic
Lazarski University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* voluntary participation in the study
Exclusion criteria
* head or the spine injury in the last 3 months * eye injuries in the last 3 months * amputation of the eyeball * Headache
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Optic nerve sheath diameter 5 minutes after collar placement | 1 day after | During each evaluation with Optic nerve sheath diameter, at least three measurements were attempted from each eye. The ONSD was measured 3 mm behind the retina. All scans were performed using a 13-6 MHz linear-array probe and a high resolution optimization setting. |
| Optic nerve sheath diameter 20 minutes after collar placement | 1 day after | During each evaluation with Optic nerve sheath diameter, at least three measurements were attempted from each eye. The ONSD was measured 3 mm behind the retina. All scans were performed using a 13-6 MHz linear-array probe and a high resolution optimization setting. |
Countries
Poland
Outcome results
None listed