Management of crush syndrome
| Autor: | U. Taitelman, M. Michaelson, Simon Bursztein |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Adult
Male Parenteral Nutrition medicine.medical_specialty Adolescent medicine.medical_treatment Emergency Nursing Peritoneal dialysis Fasciotomy Renal Dialysis Sepsis medicine Humans Shock Traumatic Crush syndrome business.industry Myoglobinuria Middle Aged medicine.disease Anti-Bacterial Agents Surgery Parenteral nutrition Debridement Child Preschool Shock (circulatory) Emergency Medicine Crush injury Fluid Therapy Crush Syndrome Female Hemodialysis medicine.symptom Respiratory Insufficiency Cardiology and Cardiovascular Medicine business Peritoneal Dialysis Leg Injuries |
| Zdroj: | Resuscitation. 12:141-146 |
| ISSN: | 0300-9572 |
| Popis: | Our experience in treating seven patients with severe crush injury of the lower limbs is described. They were brought to hospital 12 h after rescue and had no treatment until then. All seven developed acute renal failure due to myoglobinuria and dehydration. Five were anuric and three non-oliguric. All developed severe sepsis and two had also acute respiratory failure. No bleeding tendency was observed. They were treated along the following lines: early extensive fasciotomy and removal of dead tissues; early fluid challenge; early peritoneal dialysis and/or hemodialysis; high caloric, high protein nutrition; vigorous antibiotic therapy when infection was evident. There were no deaths in our patients. Our management and results are discussed and compared with those in the literature. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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