Crush syndrome and acute renal failure in the Marmara earthquake.

In this study, patients with acute renal failure as a result of crush syndrome after the Marmara earthquake were evaluated retrospectively. Six hundred thirty injured patients were evaluated after the Marmara earthquake at Gülhane Military Medical Academy. Acute renal failure in association with crush syndrome developed in 31 patients. Twenty-nine of them required hemodialysis. Duration of stay under the ruins was 6 to 135 hours. Seventy-seven patients underwent fasciotomy, and 6 underwent extremity amputation. The total number of hemodialysis sessions was 173. Six patients died as a result of crush sepsis and adult respiratory distress syndrome.