Capillary leak syndrome: A rare cause of acute respiratory distress syndrome

Juneja, Deven; Sahil, Kataria

doi:10.12998/wjcc.v10.i13.4324

Cited by 2 publications

(4 citation statements)

References 10 publications

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“…Vasopressors, corticosteroids, and theophylline have been also used in acute attacks. [4,5] High-dose intravenous immunoglobulin (1 to 2 g/kg/day) can be used in prophylaxis and treatment. [4,5] However, there are no data regarding SCLS induced by surgery.…”

Section: Discussionmentioning

confidence: 99%

“…[4,5] High-dose intravenous immunoglobulin (1 to 2 g/kg/day) can be used in prophylaxis and treatment. [4,5] However, there are no data regarding SCLS induced by surgery. Circulatory support with ECMO may give enough time to the patient, until hyperpermeability is resolved.…”

Section: Discussionmentioning

confidence: 99%

“…Circulatory support with ECMO may give enough time to the patient, until hyperpermeability is resolved. [5] In conclusion, systemic capillary leak syndrome may develop during cardiac surgery and heavily hamper the procedure. In the current practice, treatment options include fluid replacement, theophylline, high-dose steroids, intravenous immunoglobulin, and circulatory support.…”

Section: Discussionmentioning

confidence: 99%

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Systemic capillary leak syndrome during cardiac surgery

Fatih Aşgün,

Oğuz

2023

Turk Gogus Kalp Dama

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Systemic capillary leak syndrome is defined as excessive fluid and protein extravasation caused by microvascular hyperpermeability. It is a very rare condition, and may occur during or after any surgery without preceding symptoms or a suggestive history. It has been reported in pediatric cardiac surgery patients, and is not expected in adults. In this article, we present a 75-year-old female case of severe systemic capillary leak developed during coronary artery bypass grafting combined with dual valve replacement. To the best of our knowledge, this is the first adult case in the literature having an acute attack of systemic capillary leak syndrome during cardiac surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Systemic capillary leak syndrome during cardiac surgery

Fatih Aşgün,

Oğuz

2023

Turk Gogus Kalp Dama

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“…ст. або застосування кисню у високих концентраціях (>50%, тобто FiO 2 >0,5) призводить до ушкодження тканини легень [40]. Тому методом вибору є щадний режим підтримки, а саме Р середній тиск підвищують внаслідок збільшення позитивного тиску в кінці видиху, а дихальний об'єм зменшують [41].…”

Section: методи діагностики підвищення вчтunclassified

Intra-Abdominal Hypertension as a Complication of Acute Pancreatitis

Kolosovych¹,

Hanol²

2023

Fiziol Zh

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The aim of our work was to review modern aspects of pathogenesis, diagnosis and treatment of intra-abdominal hypertension as a complication of the severe course of acute pancreatitis. Acute pancreatitis is a systemic disease, the severe course of which is associated with organ dysfunction and increased intra-abdominal pressure. The frequency of intra-abdominal hypertension in patients with severe acute pancreatitis is 60%, while 10-30% of patients in this category hospitalized in the intensive care unit have abdominal compartment syndrome. An increase in intraabdominal pressure has a negative effect on the course of acute pancreatitis. Namely, multiple organ failure occurs more often; pancreatic and peripancreatic necrosis, prolonged systemic inflammatory response syndrome, complications during the use of enteral nutrition, the need for invasive interventions, the length of hospitalization and the percentage of deaths increase. Determination of intra-abdominal pressure through the urinary bladder in patients with severe acute pancreatitis should be considered as a standard for diagnosing intraabdominal hypertension. It has been proven that the use of paracentesis with drainage of the abdominal cavity in the staged treatment of patients with a complicated course of acute pancreatitis (peripancreatic accumulation of fluid in the early period of the disease) reliably reduces intra-abdominal pressure after 72 h since the detection of fluid (17.4 ± 2.6 and 11.4 ± 1.6 mm Hg), serum amylase (774.3 ± 233.9 and 472.7 ± 168.6 Units/l), procalcitonin (1.3 ± 0.7 and 0.6 ± 0.5 ng/ml) and interleukin-6 (531.3 ± 120.9 and 417.1 ± 82.4 pg/ml). Achievements in intensive care, optimization of indications for surgical interventions, early enteral nutrition, rational use of liquid resuscitation and the growing role of minimally invasive interventions have had a positive effect on the prognosis of acute pancreatitis, overall morbidity and led to a decrease in deaths in this category of patients. However, the prevention and treatment of persistent intra-abdominal hypertension and abdominal compartment syndrome require further study and improvement.

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Capillary leak syndrome: A rare cause of acute respiratory distress syndrome

Cited by 2 publications

References 10 publications

Systemic capillary leak syndrome during cardiac surgery

Systemic capillary leak syndrome during cardiac surgery

Intra-Abdominal Hypertension as a Complication of Acute Pancreatitis

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