Perioperative anesthesia management of crush syndrome caused by earthquake under field condition
10.3724/SP.J.1008.2008.00586
- Author:
Jing-Jing JIANG
1
Author Information
1. Department of Anesthesiology
- Publication Type:Journal Article
- Keywords:
Anesthesia;
Crush syndrome;
Perioperative management
- From:
Academic Journal of Second Military Medical University
2010;29(6):586-587
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To summarize our experience on perioperative anesthesia management of patients with crush syndrome caused by earthquake under field condition. Methods: The clinical anesthesia data of 10 patients with crush syndrome caused by China Wenchuan earthquake, who were treated under field condition, were retrospectively analyzed, and our experience on perioperative anesthesia management was summarized. Results: After volume therapy, urine alkalization, and stabilization of internal environment, the 10 patients underwent debridement, decompression by fasciotomy or amputation under epidural anesthesia or brachial plexus block plus psychological therapy and moderate tranquillizer. During the operation, the patients showed smooth respiratory and cardiovascular characteristics without pain. Conclusion: Under field condition, regional anesthesia can provide adequate analgesic effect during and after the surgery. Early fluid resuscitation and life support are vital to the safety and life of patients.
