CUIDADOS CRÍTICOS A PACIENTE ACOMETIDO POR QUEIMADURA ELÉTRICA: RELATO DE CASO

Abstract

Objective: To report the case of a patient with electrical burns and complications in an Intensive Care Unit (ICU) of a trauma referral hospital. Method: This is an observational, qualitative, descriptive, and case report study conducted in a public hospital in Bahia, Brazil. Results: A 25-year-old man was admitted to a hospital due to a high-voltage electrical burn, followed by a fall from his own height, and developed cardiorespiratory arrest, with return of spontaneous circulation after 30 minutes of cardiopulmonary resuscitation maneuvers. During hospitalization, he developed rhabdomyolysis, progressing to acute kidney injury. The therapeutic interventions adopted included volume replacement, diuretics, and hydroelectrolytic and acid-base control, without the need for renal replacement therapy. The outcome was favorable, with recovery of renal function, and he was discharged from the intensive care unit after 32 days of hospitalization. Conclusion: The risk of multiple organic dysfunctions in the face of the diagnosis of electrical burn and its repercussions, including rhabdomyolysis, was noted, requiring highly complex intensive care and a duly specialized team to provide qualified assistance based on the prevention of events and complications, contributing significantly to the patient's prognosis.