Evidence map›Paper›PMID 26952653›Full record

ArticleActa anaesthesiologica Scandinavica2016

Safety of the lateral trauma position in cervical spine injuries: a cadaver model study.

P K Hyldmo, M B Horodyski, B P Conrad, D N Dubose, J Røislien, M Prasarn, G R Rechtine, E Søreide

Abstract readComment
PubMed Full text at PMC Publisher
In one paragraph

Article in Acta anaesthesiologica Scandinavica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. New clinical guidelines on the spinal stabilisation of adult trauma patients - consensus and evidence based.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019
    Guideline
  2. Managing apnoea in trauma victims: the potential for dispatcher-assisted airway handling - a narrative review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Review
  3. Saving lives with statistics.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024
    Article
  4. Evaluating prehospital care of patients with potential traumatic spinal cord injury: scoping review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Article
  5. [Paediatric Life Support].Notfall & rettungsmedizin · 2021
    Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

P K HyldmoDepartment of Research, Norwegian Air Ambulance Foundation, Drøbak, Norway.
M B HorodyskiDepartment of Orthopedics & Rehabilitation, University of Florida, Gainesville, Florida, USA.
B P ConradDepartment of Orthopedics & Rehabilitation, University of Florida, Gainesville, Florida, USA.
D N DuboseDepartment of Orthopedics & Rehabilitation, University of Florida, Gainesville, Florida, USA.
J RøislienDepartment of Health Studies, University of Stavanger, Stavanger, Norway.
M PrasarnDepartment of Orthopedics, University of Texas, Huston, Texas, USA.
G R RechtineBay Pines VA Hospital System, Bay Pines, Florida, USA.
E SøreideDepartment of Anesthesiology and Intensive Care, Stavanger University Hospital, Stavanger, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndotracheal intubation is not always an option for unconscious trauma patients. Prehospital personnel are then faced with the dilemma of maintaining an adequate airway without risking deleterious movement of a potentially unstable cervical spine. To address these two concerns various alternatives to the classical recovery position have been developed. This study aims to determine the amount of motion induced by the recovery position, two versions of the HAINES (High Arm IN Endangered Spine) position, and the novel lateral trauma position (LTP).

methodWe surgically created global cervical instability between the C5 and C6 vertebrae in five fresh cadavers. We measured the rotational and translational (linear) range of motion during the different maneuvers using an electromagnetic tracking device and compared the results using a general linear mixed model (GLMM) for regression.

resultsIn the recovery position, the range of motion for lateral bending was 11.9°. While both HAINES positions caused a similar range of motion, the motion caused by the LTP was 2.6° less (P = 0.037). The linear axial range of motion in the recovery position was 13.0 mm. In comparison, the HAINES 1 and 2 positions showed significantly less motion (-5.8 and -4.6 mm, respectively), while the LTP did not (-4.0 mm, P = 0.067).

conclusionOur results indicate that in unconscious trauma patients, the LTP or one of the two HAINES techniques is preferable to the standard recovery position in cases of an unstable cervical spine injury.

Indexed as

Spinal InjuriesCadaverCervical VertebraeHumansPostureRange of Motion, Articular

Identifiers

PMID26952653
PMCPMC5069596

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.