Halo immobilization brace care: an innovative approach

The halo brace has presented the neuroscience nurse with a new challenge in the care of victims of cervical spine trauma. In a review of 147 patients admitted to the Barrow Neurological Institute (BNI) with cervical fractures and/or instability during an 18-month period, the halo brace was an integral part of the treatment regimen in 71% of the cases. A vigorous nursing/respiratory care treatment protocol has been generated for the halo brace patient, focusing primarily on individuals who are quadriplegic, ventilator dependent, or elderly. This protocol and appropriate nursing interventions will be presented. The halo brace treatment plan has been effective in promoting early patient mobilization and reducing sensory deprivation and common pulmonary, vascular, gastrointestinal, and skin complications, thus shortening the acute hospital stay and allowing earlier admission to the rehabilitation setting.