Intensive management of a crush syndrome case

Diana Sutera, Letteria Barbuscia, Antonina Bonarrigo, Gabriella D'Angelo, Eloisa Gitto

Abstract


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

Keywords


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

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References


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

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