An overview of Crush syndrome

Yıl 2024, Cilt: 4 Sayı: 1, 10 - 17, 30.06.2024

Beyza Civelek , Bengisu Arslan , Sude Kurt , Türkan Melis Sankur , Elif Zeynep Kasapoğlu , Elif Ceren Tekdoğan , İlayda Elbaş , Tuba Çandar

Öz

Crush Syndrome is a life-threatening condition that requires rapid and effective intervention, which can lead to circulatory failure, electrolyte disorder, metabolic problems, and acute renal failure, which occurs as a result of any crushing and pressure in the body. Continuous pressure exposure in the muscles eventually leads to microvascular trauma that resulting in hypoperfusion and/or hypoxia. Following the rapid assessment of vital and general status of the patients we have to run basic laboratory tests such as; complete blood count, basic metabolic panel, liver function test, CRP (C-reactive protein) levels, ESR (sedimentation rate) levels, CPK (creatine kinase) levels, urinalysis, EKG, chest X-ray. Patients with stabilization should be treated immediately by opening vascular access and closing the fluid and electrolyte deficits. Follow-up processes should be evaluated in the intensive care unit for the first 24 hours in terms of catheter urine monitoring and electrolyte monitoring. In addition, the patient should be followed up for neurological and psychological evaluation in the future

Anahtar Kelimeler

Crush Syndrome, Rhabdomyolysis, Water-Electrolyte Imbalance, Ischemia-Reperfusion Injury

Crush sendromuna genel bir bakış

Öz

Crush Sendromu (Ezilme Sendromu) vücutta herhangi bir ezilme ve baskı sonucu ortaya çıkan; zamanla dolaşım yetmezliği, elektrolit bozukluğu, metabolik sorunlar, akut böbrek yetmezliğe kadar giden bir tabloya yol açabilecek hızlı ve etkin müdahale gerektiren yaşamı tehdit eden bir durumdur. Kaslarda gelişen sürekli basınç maruziyeti bir süre sonra mikrovasküler travma, sonuçta da hipoperfüzyona ve/veya hipoksiye yol açar. Hastaların hızlıca vital ve genel durum değerlendirmelerinin ardından tam kan sayımı, temel metabolik panel, karaciğer fonksiyon testi, CRP (C-reaktif protein) düzeyleri, ESR (sedimentasyon hızı) düzeyleri, CPK (kreatin kinaz) düzeyleri, idrar tahlili, EKG, akciğer grafisi gibi temel laboratuvar tetkikleri yapılmalıdır. Stabilizasyonu sağlanan hastalara hemen damar yolu açılıp sıvı ve elektrolit açıkları kapatılarak tedaviye başlanmalıdır. Takip süreçleri ilk 24 saat yoğun bakım ünitesinde sondayla idrar ve elektrolit takipleri açısından değerlendirilmelidir. Ayrıca ilerleyen dönemlerde nörolojik ve ruhsal değerlendirme açılarından hasta takip edilmelidir.

Anahtar Kelimeler

Ezilme Sendromu, Rabdomiyoliz, Sıvı-Elektrolit Dengesizliği, İskemi-Reperfüzyon Hasarı

Kaynakça

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