crush syndrome


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Related to crush syndrome: double crush syndrome, Compartment syndrome

crush syndrome

 [krush]
the edema, oliguria, and other symptoms of renal failure that follow crushing of a part, especially a large muscle mass, causing the release of myoglobin. See also rhabdomyolysis.

crush syn·drome

the shocklike state that follows release of a limb or limbs or the trunk and pelvis after a prolonged period of compression, as by a heavy weight; characterized by suppression of renal function, probably the result of damage to the renal tubules by myoglobin from the damaged muscles. Synonym(s): compression syndrome
See also: crush kidney.

crush syndrome

Etymology: ME, crushen
a severe, life-threatening condition caused by extensive crushing trauma, characterized by destruction of muscle and bone tissue, hemorrhage, and fluid loss resulting in hypovolemic shock, hematuria, renal failure, and coma. Massive supportive therapy, including fluids, electrolytes, antibiotics, analgesia, oxygen, and intensive care with close monitoring of all vital functions, is usually necessary.
A condition caused by prolonged and continuous external pressure on the limbs, resulting in disintegration of muscle and influx of myolytic products into the circulation
Lab Increased K+, purines, phosphates, lactic acid, thromboplastin, creatine kinase, creatine, BUN, hemoglobinuria, myoglobinuria

crush syndrome

Traumatic rhabdomyolysis Traumatology A condition that results from prolonged and continuous external pressure on the limbs, which reflects the disintegration of muscle and influx of myolytic products into the circulation Lab ↑ K+, purines, phosphates, lactic acid, thromboplastin, creatine kinase, creatine, BUN, hemoglobinuria, myoglobinuria

crush syn·drome

(krŭsh sin'drōm)
The shocklike state that follows release of a limb or limbs or the trunk and pelvis after a prolonged period of compression, as by a heavy weight; characterized by suppression of urine, probably the result of damage to the renal tubules by myoglobin from the damaged muscles.
Synonym(s): compression syndrome (1) .

crush syndrome

A dangerous condition that may follow a severe crushing injury, especially if large muscles are involved. Much muscle haemoglobin is released into the blood and this seriously damages the kidneys leading to kidney failure. There is also SHOCK from fluid and blood loss.

Bywaters,

Eric George Lapthorne, English rheumatologist, 1910–.
Bywaters syndrome - lower nephron nephrosis. Synonym(s): crush syndrome

crush syndrome

the edema, oliguria and other clinical signs of renal failure that follow crushing of a part, especially a large muscle mass, causing the release of myoglobin. See also lower nephron nephrosis.
References in periodicals archive ?
Al controllo, i pazienti dovevano portare il referto elettromiografico sulla base del quale e stata fatta un'analisi statistica con i dati raccolti: in particolare e stato calcolato il valore predittivo positivo, la prevalenza della double crush syndrome e la distribuzione delle radici cervicali colpite nel campione in esame.
Riguardo invece alla conferma della frequente associazione della radicolopatia cervicale ad una double crush sindrome dell'arto superiore, il campione in esame evidenzia che (tabella 5) su 29 pazienti totali un 10,33% (frequenza 3) e negativo all'esame elettromiografico, ovvero senza radicolopatia; un 48,28% (frequenza 14) e affetto solo da radicolopatia cervicale, mentre un 41,38% (frequenza 12) e affetto da radicolopatia cervicale associata a double crush syndrome.
Gli stessi dati devono sensibilizzare e far riflettere i clinici ed i riabilitatori sulla frequente presenza di una double crush syndrome, la quale richiede un accurato protocollo diagnostico in grado di individuare con precisione la causa della condizione clinica del paziente, in modo che una corretta diagnosi possa ridurre gli insuccessi terapeutici dovuti ad eventuali trattamenti conservativi o chirurgici non mirati.
Altro scopo raggiunto da questo studio e stato rendere evidente la frequente presenza di double crush syndrome che, manifestandosi insidiosamente per il sovrapporsi di sintomi evocati da diversi siti di sofferenza nervosa, richiede un accurato protocollo diagnostico in grado di individuare con precisione la causa della condizione clinica del paziente, in modo che una corretta diagnosi possa ridurre gli insuccessi terapeutici.
7% (38/148) had crush syndrome while in the non-CA group, nobody had crush syndrome.
A significantly higher proportion of CA patients had a GCS <15, developed crush syndrome and were referred (borderline significant), while there was no significant difference between the CA and non-CA groups in the proportion of patients that were intubated.
Traumatic rhabdomyolysis or crush syndrome can rapidly lead to acute renal failure and death.
Dialysis is always necessary to prevent acute renal failure in cases of crush syndrome.
Aggressive treatment with fluids and alkaline diuresis, if instituted early, can prevent renal failure in cases of crush syndrome.
Management of shock and acute renal failure in casualties suffering from the crush syndrome.
Ensari C, Tufekcioglu O, Ayli D, et al Response to delayed fluid therapy in crush syndrome.