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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2022 / Cilt: 28 - Sayı: 6

Trauma-induced capillary leak syndrome after penetrating chest injury: Manifestation of massive ascites and pulmonary secretions aggravated by transfusion

Seok Hwa Youn
Yong Chul Shin
Jiho Yoon
Sunyoung Baek
Younghwan Kim
Pages
863–866
Publication Date
2022-11-08
DOI
—
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AI Summary & Key Takeaways

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

It is important to prevent and correct the shock rapidly by appropriate rescue, controlling the source and infusing less amount of crystalloid and transfusion.

📌 3 Key Takeaways

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Objective & Hypothesis:Trauma with prolonged shock can cause systemic capillary leak syndrome regardless of the site of injury and a transfusion can aggravate it.The systemic capillary leak induces both an abdominal compartment syndrome and pulmonary edema, and a transfusion can aggra- vate these sequelae within hours.
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Key Findings & Data:In our case, 21-year-old man with a penetrating injury in his left thorax experienced delay in rescue and definitive surgery.To manage life-threatening shock, massive blood transfusion and crystalloids had been infused.
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Conclusion & Impact:It is important to prevent and correct the shock rapidly by appropriate rescue, controlling the source and infusing less amount of crystalloid and transfusion.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Trauma with prolonged shock can cause systemic capillary leak syndrome regardless of the site of injury and a transfusion can aggravate it.The systemic capillary leak induces both an abdominal compartment syndrome and pulmonary edema, and a transfusion can aggra- vate these sequelae within hours. In our case, 21-year-old man with a penetrating injury in his left thorax experienced delay in rescue and definitive surgery.To manage life-threatening shock, massive blood transfusion and crystalloids had been infused. Cardiopulmonary cerebral resuscitations were performed 2 times during the surgery. Massive amount of pulmonary secretions emitted from his airways with severe hypoxia along with development of massive ascites causing abdominal compartment syndrome, while the surgery was underway. After temporary abdominal closure, he was moved to the intensive care unit and underwent venovenous extracorporeal membranous oxygenation. He recovered without any notable complications. It is important to prevent and correct the shock rapidly by appropriate rescue, controlling the source and infusing less amount of crystalloid and transfusion.

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Cite This Article

Youn, S. H., Shin, Y. C., Yoon, J., Baek, S., Kim, Y. (2022). Trauma-induced capillary leak syndrome after penetrating chest injury: Manifestation of massive ascites and pulmonary secretions aggravated by transfusion. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 28 - Sayı: 6, 863–866. https://ajindex.com/articles/655451

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