MANAGEMENT OF SEPTIC SHOCKAND HYPOXIA INDUCED CONJUGATED HYPERBILIRUBINAEMIA IN CASE OF MAJOR CHEST TRAUMA – CASE REPORT

  • Tibor Kantor 1stOrthopaedics and Traumatology Department, University of Medicine and Pharmacy of Tîrgu-Mures, Romania
  • Istvan Gergely 1stOrthopaedics and Traumatology Department, University of Medicine and Pharmacy of Tîrgu-Mures, Romania
  • Marton Denes 1st Surgery Department, University of Medicine and Pharmacy of Tîrgu-Mures, Romania
  • Katalin Kantor Adults Cardiology Department, Emergency Institute for Cardiovascular Diseases and Transplantation Tîrgu-Mureș, Romania
  • Arpad Torok 1st Surgery Department, University of Medicine and Pharmacy of Tîrgu-Mures, Romania
  • Zuh Sandor 1stOrthopaedics and Traumatology Department, University of Medicine and Pharmacy of Tîrgu-Mures, Romania
  • Tudor Sorin Pop 1stOrthopaedics and Traumatology Department, University of Medicine and Pharmacy of Tîrgu-Mures, Romania

Abstract

This case report describes a 50-year-old male trauma patient with multiple crushed thoracic lesions: flail chest, bilateral hemopneumothorax, myocardial infarction and pulmonary contusion. In the ICU he developed ARDS and pulmonary infection which lead to septic shock. Hypoxia due to inadequate ventilation and reduced visceral perfusion due to shock induced elevated levels of conjugated bilirubin. Continuous veno-venous hemofiltration (CVVH) sessions in combination with CytoSorb® filters and MARS® were needed. After surgical fixation of the flail segment ventilatory parameters improved significantly.

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Published
2015-11-28
How to Cite
Kantor, T., Gergely, I., Denes, M., Kantor, K., Torok, A., Sandor, Z., & Pop, T. S. (2015). MANAGEMENT OF SEPTIC SHOCKAND HYPOXIA INDUCED CONJUGATED HYPERBILIRUBINAEMIA IN CASE OF MAJOR CHEST TRAUMA – CASE REPORT. European Scientific Journal, ESJ, 11(33). Retrieved from https://eujournal.org/index.php/esj/article/view/6631