Crush Syndrome

Merve ERDEMa , Benan BAYRAKCIa

aHacettepe University Faculty of Medicine, Life Support Centre, Department of Pediatric Intensive Care, Ankara, Türkiye

ABSTRACT
Crush injuries cause direct physical trauma to the human body, and the systemic effects of these injuries are referred to as crush syndrome. Crush injuries and crush syndrome in pediatric patients, especially in natural disasters, can result in severe orthopaedic injuries, respiratory failure, hypotension, organ damage, acute kidney injury, sepsis and acute respiratory distress syndrome. Mortality in crush syndrome is due to hypovolemia in the field and hyperkalemia and acute kidney injury in hospitals. Follow-up of these patients in the pediatric intensive care unit is necessary for airway management, hemodynamic instability, extracorporeal treatment and prognosis of long-term organ function. Fluid resuscitation, correction of electrolyte imbalance, diuresis, timely fasciotomy and renal replacement therapies are rescue therapies. In the long term, management of infectious complications, monitoring of the chronicity of renal damage and reduction and rehabilitation of disability are critical for the functional recovery of patients.
Keywords: Acute kidney injury; crush syndrome; pediatric intensive care units; renal replacement therapy

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