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Journals / The European Research Journal / 2024 / Volume: 10 Issue: 6

An earthquake reality: fasciotomy wounds and treatments

Hakan Erdoğan(Department of Pediatric Nephrology, University of Health Sciences, Bursa Faculty of Medicine, Bursa, Türkiye)0000-0002-5212-9282
Arzu Oto(Department of Pediatric Intensive Care Unit, University of Health Sciences, Bursa Faculty of Medicine, Bursa, Türkiye)0000-0003-0229-2759
Gamze Yerci(Department of Underwater and Hyperbaric Medicine, University of Health Sciences, Bursa Faculty of Medicine, Bursa, Türkiye)0009-0002-1921-8010
Gülcan Koçer(Department of Pediatrics, University of Health Sciences, Bursa Faculty of Medicine, Bursa, Türkiye)0009-0009-0997-709X
Burcu Menekşe(Department of Pediatrics, University of Health Sciences, Bursa Faculty of Medicine, Bursa, Türkiye)0000-0002-6801-4973
Berna Aktürk(Department of Pediatrics, University of Health Sciences, Bursa Faculty of Medicine, Bursa, Türkiye)0000-0001-7930-5672
Ümit Yıldırım(Department of Pediatrics, University of Health Sciences, Bursa Faculty of Medicine, Bursa, Türkiye)0009-0007-4178-6934
Şefika Elmas Bozdemir(Department of Pediatric Infection Diseases, University of Health Sciences, Bursa Faculty of Medicine, Bursa, Türkiye)0000-0003-1058-0320
Pages
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Publication Date
2024-11-04
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Therefore, early closure of fasciotomy wounds is recommended.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Earthquake-induced Crush Syndrome and subsequent acute kidney injury are important issues that affect morbidity and mortality.
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Key Findings & Data:We report the case of a 15-year-old girl who developed acute renal failure due to crush syndrome after being trapped in the wreckage for 9 hours and undergoing fasciotomy procedures for four locations, in the left extremity, two in the thigh and two in the cruris.
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Conclusion & Impact:Therefore, early closure of fasciotomy wounds is recommended.
🔬Design:Case Report
📍Scope:Comprehensive Sample
⚙️Variables:Earthquake · fasciotomy wounds · negative pressure therapy (VAC)

Abstract

Earthquake-induced Crush Syndrome and subsequent acute kidney injury are important issues that affect morbidity and mortality. Fasciotomies prolong the length of stay in intensive care unit in patients with Compartment Syndrome due to the complications it causes. Infections and delayed wound healing are two common complications among these. Therefore, early closure of fasciotomy wounds is recommended. Although different treatments can be applied for treatment of wounds, data on this subject in pediatric patients are insufficient. We report the case of a 15-year-old girl who developed acute renal failure due to crush syndrome after being trapped in the wreckage for 9 hours and undergoing fasciotomy procedures for four locations, in the left extremity, two in the thigh and two in the cruris. Hemodialysis, antihypertensive, and antibiotic treatment were administered during the intensive care follow-up due to acute kidney injury, hypertension, and sepsis. With negative pressure therapy, silver alginate wound dressing, and hyperbaric oxygen therapy, all wounds epithelialized within two months. However, rehabilitation for drop foot syndrome caused by nerve cuts in the left extremity continues.

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Cite This Article

Erdoğan, H., Oto, A., Yerci, G., Koçer, G., Menekşe, B., Aktürk, B., Yıldırım, Ü., Bozdemir, Ş. E. (2024). An earthquake reality: fasciotomy wounds and treatments. The European Research Journal, Volume: 10 Issue: 6. https://doi.org/10.18621/eurj.1465494

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