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Rigid cervical collars and intracranial pressure

G R Craig1, M S Nielsen

  • 1Intensive Care Unit, Southampton General Hospital, UK.

Intensive Care Medicine
|January 1, 1991
PubMed

Abstract:

The use of a rigid cervical collar is widely recommended for patients with impaired consciousness following a head injury. This report suggests that such collars may cause significant increases in intracranial pressure in some patients and that this should be borne in mind when they are used.

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Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...

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