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Crush syndrome: pathophysiology and management.

S A Peck

    Orthopedic Nursing
    |May 1, 1990
    PubMed
    Summary

    Crush syndrome involves hypovolemia, compartment syndrome, rhabdomyolysis, and acute tubular necrosis (ATN), often leading to cardiac dysrhythmias. This review covers its pathophysiology, management, and nursing care strategies.

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    Area of Science:

    • Emergency Medicine
    • Trauma Care
    • Nephrology

    Background:

    • Crush syndrome is a severe systemic illness resulting from prolonged muscle compression.
    • It presents a predictable cascade of physiological derangements.
    • Cardiac complications are frequently observed in affected patients.

    Purpose of the Study:

    • To elucidate the pathophysiology of crush syndrome.
    • To outline current management strategies for crush syndrome.
    • To present a comprehensive nursing care plan for crush syndrome patients.

    Main Methods:

    • Literature review on crush syndrome pathophysiology.
    • Analysis of current clinical management protocols.
    • Development of a nursing care framework.

    Main Results:

    • Crush syndrome involves hypovolemia, compartment syndrome, and rhabdomyolysis.
    • Acute tubular necrosis (ATN) is a common complication.
    • Cardiac dysrhythmias represent a significant clinical challenge.

    Conclusions:

    • Understanding the sequential events of crush syndrome is crucial for timely intervention.
    • Effective management requires a multidisciplinary approach addressing hemodynamic stability, muscle injury, and renal function.
    • A structured nursing care plan is essential for optimizing patient outcomes.

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