Intensive management of a crush syndrome case

Autores/as

  • Diana Sutera Dipartimento di Patologia Umana dell'adulto e dell'età evolutiva Gaetano Barresi, University of Messina, Messina.
  • Letteria Barbuscia Dipartimento di Patologia Umana dell'adulto e dell'età evolutiva Gaetano Barresi, University of Messina, Messina.
  • Antonina Bonarrigo Dipartimento di Patologia Umana dell'adulto e dell'età evolutiva Gaetano Barresi, University of Messina, Messina.
  • Gabriella D'Angelo Dipartimento di Patologia Umana dell'adulto e dell'età evolutiva Gaetano Barresi, University of Messina, Messina.
  • Eloisa Gitto Dipartimento di Patologia Umana dell'adulto e dell'età evolutiva Gaetano Barresi, University of Messina, Messina.

DOI:

https://doi.org/10.6092/1828-6550/APMB.108.1.2020.CCS6

Palabras clave:

rhabdomyolysis, crush syndrome, renal failure, resuscitation, hyperkalemia, massive fluid resuscitation, preventive dialysis

Resumen

We here describe the case of a 16-year-old boy who was victim of a car accident, and developed a crush syndrome with exponential increase in CPK, myoglobin and with worrying levels of potassium in the blood and initial contraction of diuresis. Early start of treatment with hyperhydration and continuous hemofiltration, begun 4 hours after the car accident; it has been effective in reducing lactic acidosis, serum levels of K + and myoglobin and it also significantly attenuated the renal insult by preventing myoglobin deposit damage

Referencias

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24. Zhou, X.L., Ni, S.Z., Xiong, D., Cheng, X.Q., Xu, P., Zhao, Y.

(2019) Fluid resuscitation with preventive peritoneal dialysis attenuates crush injury-related acute kidney injury and improves survival outcome. Scand J Trauma ResuscEmergMed. 18;27 (1),68. doi:10.1186/s13049-019-0644-0

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Publicado

2020-06-18

Número

Vol. 108 Núm. 1 (2020)

Sección

CLINICAL CASE SEMINAR

Licencia

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