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Review of the AAGT intensive care committee clinical consensus on the management of patients with rhabdomyolysis

https://doi.org/10.51922/2616-633X.2022.6.1.1563

Abstract

Rhabdomyolysis is a condition characterized by the primary (mechanical) or the secondary (metabolic) damage to skeletal muscles, resulting in cell death and massive release of potentially toxic substances into the general circulation. Alertness to this complex pathological condition is very low among primary care physicians. Most often, traumatologists-orthopedists and resuscitators deal with the clinical picture of rhabdomyolysis. However, an in-depth analysis of literature data on the etiopathogenesis of this process implies a wide range of specialties, who need knowledge of the clinical picture of the development of rhabdomyolysis as well as of therapeutic specifics and prevention to manage this specific contingent patient. At the end of 2021, the clinical consensus of the intensive care committee of the American Association for the Surgery of Trauma (AAST) took place, which resulted in the formulation of recommendations for the management of patients with rhabdomyolysis. The document reviews and compiles knowledge of the causes of muscle fiber breakdown, diagnosis, treatment, and outcomes of acute rhabdomyolysis in critically ill patients.

About the Authors

A. Titova
Belarusian State Medical University
Belarus

Minsk



M. Terenin
6th City Clinical Hospital
Belarus

Minsk



I. Dovgalevich
Belarusian State Medical University
Belarus

Minsk



S. Motuz
6th City Clinical Hospital
Belarus

Minsk



A. Mishchenko
Chausskaya Central District Hospital
Belarus

Chausy, Mogilev region



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Review

For citations:


Titova A., Terenin M., Dovgalevich I., Motuz S., Mishchenko A. Review of the AAGT intensive care committee clinical consensus on the management of patients with rhabdomyolysis. Emergency Cardiology and Cardiovascular Risks journal. 2022;6(1):1563-1571. (In Russ.) https://doi.org/10.51922/2616-633X.2022.6.1.1563

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