Examinando por Materia "Edema Encefálico"

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    Effectiveness of immobilization using the cervical collar in the transfer of polytraumatized patients
    (Universidad Privada Norbert Wiener, 2019-05-19) Vicente Yataco, Wilmer Fernando; Yanamango León, Jose Luis; Pretell Aguilar, Rosa María
    Objective: Systematize the evidence on the effectiveness of the use of cervical collar in polytraumatized patients to prevent sequelae and disabilities. MATERIAL AND METHOD: Systematic observational and retrospective review, the search has been restricted to articles with full text, using Jover's evaluation to identify its level of evidence. The systematic review of the 10 scientific articles evidenced on the effectiveness of the use of cervical collar in polytraumatized patients to prevent sequelae and disabilities, were obtained from the following databases Pubmed, Medline, Embase, Cochrane Library, Dialnet, Scielo, and Lilacs . They were analyzed according to the Grade scale to determine the strength and quality of the evidence. Of the 10 articles, 80% (8/10) correspond to the methodological design of a systematic review, and 20% (2/10) are randomized studies. Results: Of the 10 articles reviewed, 70% (7/10) demonstrate that the effectiveness of the use of cervical collar in polytraumatized patients in the short term prevents sequelae and disabilities, in immobilization and transportation from the scene of an accident to the hospital; and 30% (3/10) show that the use of cervical collar in long-term polytraumatized patients produces cerebral edema, pressure ulcers, muscle exhaustion, jugular and tissue venous pressure. Conclusions: Of the 10 articles reviewed, 7 of 10 show that the use of cervical collar in polytrauma patients in the short term is effective for immobilization and transportation from the scene of an accident to the hospital; and 3 out of 10 show that the use of the cervical collar in long-term polytraumatized patients produces cerebral edema, pressure ulcers, muscle exhaustion, jugular and tissue venous pressure.