Systemic Capillary Leak Syndrome associated with hypovolemic shock and compartment syndrome. Use of transpulmonary thermodilution technique for volume management
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Systemic Capillary Leak Syndrome associated with hypovolemic shock and compartment syndrome. Use of transpulmonary thermodilution technique for volume management. / Saugel, Bernd; Umgelter, Andreas; Martin, Friedrich; Phillip, Veit; Schmid, Roland M; Huber, Wolfgang.
In: SCAND J TRAUMA RESUS, Vol. 18, 01.01.2010, p. 38.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Systemic Capillary Leak Syndrome associated with hypovolemic shock and compartment syndrome. Use of transpulmonary thermodilution technique for volume management
AU - Saugel, Bernd
AU - Umgelter, Andreas
AU - Martin, Friedrich
AU - Phillip, Veit
AU - Schmid, Roland M
AU - Huber, Wolfgang
PY - 2010/1/1
Y1 - 2010/1/1
N2 - Systemic Capillary Leak Syndrome (SCLS) is a rare disorder characterized by increased capillary hyperpermeability leading to hypovolemic shock due to a markedly increased shift of fluid and protein from the intravascular to the interstitial space. Hemoconcentration, hypoalbuminemia and a monoclonal gammopathy are characteristic laboratory findings. Here we present a patient who suffered from SCLS with hypovolemic shock and compartment syndrome of both lower legs and thighs. Volume and catecholamine management was guided using transpulmonary thermodilution. Extended hemodynamic monitoring for volume and catecholamine management as well as monitoring of muscle compartment pressure is of crucial importance in SCLS patients.
AB - Systemic Capillary Leak Syndrome (SCLS) is a rare disorder characterized by increased capillary hyperpermeability leading to hypovolemic shock due to a markedly increased shift of fluid and protein from the intravascular to the interstitial space. Hemoconcentration, hypoalbuminemia and a monoclonal gammopathy are characteristic laboratory findings. Here we present a patient who suffered from SCLS with hypovolemic shock and compartment syndrome of both lower legs and thighs. Volume and catecholamine management was guided using transpulmonary thermodilution. Extended hemodynamic monitoring for volume and catecholamine management as well as monitoring of muscle compartment pressure is of crucial importance in SCLS patients.
KW - Adult
KW - Capillary Leak Syndrome
KW - Compartment Syndromes
KW - Humans
KW - Lower Extremity
KW - Male
KW - Shock
KW - Thermodilution
U2 - 10.1186/1757-7241-18-38
DO - 10.1186/1757-7241-18-38
M3 - SCORING: Journal article
C2 - 20602755
VL - 18
SP - 38
JO - SCAND J TRAUMA RESUS
JF - SCAND J TRAUMA RESUS
SN - 1757-7241
ER -