Crush syndrome complicating pneumatic antishock garment (PASG) use. 1988

D C Taylor, and A J Salvian, and C R Shackleton
Department of Surgery, University of British Columbia, Vancouver, Canada.

We present a case of severe compartment syndrome complicated by rhabdomyolysis and acute renal failure (crush syndrome) following the use of a pneumatic antishock garment (PASG) with survival of the patient. Review of the literature reveals one other similar case but without survival. The aetiology of the complication is discussed and recommendations for the safe use of the PASG are made.

UI MeSH Term Description Entries
D008297 Male Males
D003444 Crush Syndrome Severe systemic manifestation of trauma and ischemia involving soft tissues, principally skeletal muscle, due to prolonged severe crushing. It leads to increased permeability of the cell membrane and to the release of potassium, enzymes, and myoglobin from within cells. Ischemic renal dysfunction secondary to hypotension and diminished renal perfusion results in acute tubular necrosis and uremia. Crush Syndromes,Syndrome, Crush,Syndromes, Crush
D005676 Gravity Suits Double-layered inflatable suits which, when inflated, exert pressure on the lower part of the wearer's body. The suits are used to improve or stabilize the circulatory state, i.e., to prevent hypotension, control hemorrhage, and regulate blood pressure. The suits are also used by pilots under positive acceleration. Anti-Shock Trousers,Antigravity Suits,MAST Suit,Medical Anti-Shock Trousers,Military Anti-Shock Trousers,Pneumatic Suits,Pressure Suits,Antishock Trousers,Military Antishock Trousers,Anti Shock Trousers,Anti-Shock Trouser, Medical,Anti-Shock Trousers, Medical,Anti-Shock Trousers, Military,Antishock Trousers, Military,Gravity Suit,MAST Suits,Medical Anti Shock Trousers,Medical Anti-Shock Trouser,Military Anti Shock Trousers,Pneumatic Suit,Pressure Suit,Suit, Antigravity,Suit, Gravity,Suit, MAST,Suit, Pneumatic,Suit, Pressure,Suits, Antigravity,Trouser, Medical Anti-Shock,Trousers, Anti-Shock,Trousers, Antishock,Trousers, Medical Anti-Shock,Trousers, Military Anti-Shock,Trousers, Military Antishock
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012774 Shock, Traumatic Shock produced as a result of trauma. Traumatic Shock

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