Systemic Capillary Leak Syndrome associated with hypovolemic shock and compartment syndrome. Use of transpulmonary thermodilution technique for volume management

被引:14
|
作者
Saugel, Bernd [1 ]
Umgelter, Andreas [1 ]
Martin, Friedrich [2 ]
Phillip, Veit [1 ]
Schmid, Roland M. [1 ]
Huber, Wolfgang [1 ]
机构
[1] Tech Univ Munich, Klinikum Rechts Isar, Med Klin & Poliklin 2, D-81675 Munich, Germany
[2] Klin Munchen Perlach, D-81737 Munich, Germany
来源
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE | 2010年 / 18卷
关键词
CRITICALLY-ILL PATIENTS; CENTRAL VENOUS-PRESSURE; FLUID RESPONSIVENESS; TERBUTALINE; FAILURE; CELLS;
D O I
10.1186/1757-7241-18-38
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
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.
引用
收藏
页数:5
相关论文
共 50 条
  • [11] Systemic capillary leak syndrome associated with a rare abdominal and four-limb compartment syndrome: A case report
    Lamou H.
    Grassmann J.-P.
    Betsch M.
    Wild M.
    Hakimi M.
    Windolf J.
    Jungbluth P.
    Journal of Medical Case Reports, 8 (1)
  • [12] ABDOMINAL COMPARTMENT SYNDROME ASSOCIATED WITH CAPILLARY LEAK SYNDROME AFTER LIVER TRANSPLANTATION
    Sun, Beicheng
    Zhang, Wei
    Wang, Xuehao
    Zheng, Chongming
    Cao, Quan
    LIVER TRANSPLANTATION, 2008, 14 (07) : S161 - S161
  • [13] Abdominal Compartment Syndrome Associated With Capillary Leak Syndrome After Liver Transplantation
    Zhang, W.
    Wang, K.
    Qian, X.
    Xia, Y.
    Zheng, C.
    Zuo, X.
    Wang, Y.
    Cao, Q.
    Wang, X.
    Sun, B.
    TRANSPLANTATION PROCEEDINGS, 2009, 41 (09) : 3927 - 3930
  • [14] Autonomic biomarkers of shock in idiopathic systemic capillary leak syndrome
    Wu, Maddalena Alessandra
    Catena, Emanuele
    Castelli, Antonio
    Rech, Roberto
    Borghi, Beatrice
    Ottolina, Davide
    Fossali, Tommaso
    Cogliati, Chiara
    Colombo, Riccardo
    PLOS ONE, 2021, 16 (06):
  • [15] Consider systemic capillary leak syndrome in monoclonal gammopathy with shock
    Ounci-Essad
    Bouchlarhem, Amine
    Lamzouri, Oussama
    El Aidouni, Ghizlane
    Haddar, Leila
    Mimouni, Hamza
    Bkiyar, Houssam
    Housni, Brahim
    ANNALS OF MEDICINE AND SURGERY, 2021, 72
  • [16] Systemic capillary leak syndrome: a rare cause of refractory shock
    Touceda Bravo, Alberto
    Rivas Vilas, Maria Digna
    Gallego Barbachano, Isabel
    Lago Preciado, Guillermo
    EMERGENCIAS, 2017, 29 (05): : 357 - 358
  • [17] Recurrent undifferentiated shock: Idiopathic Systemic Capillary Leak Syndrome
    Aroney, Nicholas
    Ure, Stewart
    White, Hayden
    Sane, Sunil
    CLINICAL CASE REPORTS, 2015, 3 (07): : 527 - 530
  • [18] Systemic capillary leak syndrome associated with pleural effusion
    Girgin, Derya
    Dalgic, Nazan
    Telhan, Leyla
    Kafadar, Ihsan
    Tasdemir, Mehmet
    Sahin, Sarper
    Caglar, Aykut
    Hasim, Oezlem
    TURK PEDIATRI ARSIVI-TURKISH ARCHIVES OF PEDIATRICS, 2010, 45 (01): : 61 - 63
  • [19] Systemic Capillary Leak Syndrome Should be Considered in the Differential Diagnosis of Multi-Organ Failure and Hypovolemic Shock Reply
    Ebbeson, Regan Lorraine
    Kollman, Tobias R.
    PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2010, 29 (06) : 580 - 580
  • [20] Chronic systemic capillary leak syndrome. Report of a case and review of the literature
    Airaghi, L
    Montori, D
    Santambrogio, L
    Miadonna, A
    Tedeschi, A
    JOURNAL OF INTERNAL MEDICINE, 2000, 247 (06) : 731 - 735