Systemic Capillary Leak Syndrome associated with hypovolemic shock and compartment syndrome. Use of transpulmonary thermodilution technique for volume management
2010; BioMed Central; Volume: 18; Issue: 1 Linguagem: Inglês
10.1186/1757-7241-18-38
ISSN1757-7241
AutoresBernd Saugel, Andreas Umgelter, Martin Friedrich, Veit Phillip, Roland M. Schmid, Wolfgang Huber,
Tópico(s)Renal function and acid-base balance
ResumoSystemic 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.
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