Trauma patients immobilized

This isextremelyimportantin immobilized trauma patients where coronal acquisition is not achievable or in pediatric patients where a double scan should be avoided in order to reduce the radiation dose. 

Immobilized trauma patients are at high risk of development of hospital-acquired infections, including pneumonia. Kinetic or lateral rotational beds are hypothesized to increase tidal volume and improve the drainage of secretions in the lungs by intermittent or continuous rotation on the longitudinal... 

Androgens and anabolic steroids have been used in conjunction with dietary measures and exercises in an attempt to reverse protein loss after trauma, surgery, or prolonged immobilization and in patients with debilitating diseases. 

Nakamura, T., Ushiyama, C., Suzuki, Y., Shoji, H., Shimada, N., Koide, H. Hemoperfusion with polymyxin B immobilized fibers for urinary albumin excretion in septic patients with trauma. ASAIO J 48 (2002) 244-248. 

Aiso known as adhesive capsulitis, frozen shoui-der resuits from proionged immobiiization ofthe shouider. Frozen shoulder may result from application of a splint or sling, or from failure to move the shoulder because of pain from trauma or an inflammatory process in the shoulder, inflammatory and fibrous changes occur in all the periarticular soft tissues. The range of motion of the shoulder can be markedly restricted, with abduction and internal rotation usually the most affected. Patients should be instructed to exercise the shoulder. Complete immobilization should not be continued for more than 48 hours except under supervision of a physician then, physical therapy should be begun as quickly as possible. 

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