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Chapter-067 Crush Syndrome

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Paramshetti V
ISBN
9789385891052
DOI
10.5005/jp/books/12869_68
Edition
3/e
Publishing Year
2016
Pages
4
Author Affiliations
1. Paramshetti Hospital Sangli Miraj Road, Miraj, Paramshetti Hospital, Miraj, Maharashtra, India
Chapter keywords
crush syndrome, skeletal muscle, acute renal failure, hypovolemia, rhabdomyolysis, metabolic acidosis, hyperuricosuria, fluid therapy, hemodialysis

Abstract

This chapter discusses crush syndrome. Crush syndrome is a condition in which rhabdomyolysis develops rapidly after the skeletal muscles are released from prolonged pressure, resulting in shock, acute renal failure, and other systemic symptoms. Majority of reported crush syndrome cases are associated with disasters involving collapse of heavy masses. Clinical features, laboratory evaluation, and treatments are also discussed in this chapter. Fluid therapy is the first choice in the management of crush syndrome because the development of shock and acute renal failure can be avoided by the early provision of fluid resuscitation. Hemodialysis in crush syndrome is important in treating acute renal failure and elimination of myoglobin. Fluid and electrolyte maintenance remains the mainstay of treatment.

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