Description

Acute carbon monoxide poisoning may be associated with a number of complications, which may include the capillary leak syndrome, rhabdomyolysis and a compartment syndrome.


Patient selection: acute carbon monoxide poisoning

 

Features of the capillary leak syndrome:

(1) hypotension (hypovolemic shock)

(2) hemoconcentration

(3) hypoalbuminemia

 

The shift of intravascular fluids to the extravascular space plus fluid resuscitation for hypotension can result in peripheral edema and fluid collections, which increases the risk of a compartment syndrome, especially in the lower extremities.

 

Rhabdomyolysis due to direct carbon monoxide toxicity or compartment syndrome can occur and result in acute renal failure.


To read more or access our algorithms and calculators, please log in or register.