TY - JOUR
T1 - Rhabdomyolysis
T2 - another complication after prolonged surgery
AU - Alterman, Igal
AU - Sidi, Ami
AU - Azamfirei, Leonard
AU - Copotoiu, Sanda
AU - Ezri, Tiberiu
PY - 2007/2
Y1 - 2007/2
N2 - We present the case of a young patient who underwent a prolonged urological procedure in the lateral decubitus position. The patient's postoperative course was complicated by rhabdomyolysis manifested by elevated levels of serum creatine phosphokinase and the presence of myoglobin in urine and blood. To prevent renal failure, we managed the patient in the intensive care unit with generous volumes of intravenous fluids, forced diuresis, and urine alkalization. Subsequently, the patient had an uneventful recovery. The linkage between surgical positioning, prolonged surgery time, and rhabdomyolysis is discussed.
AB - We present the case of a young patient who underwent a prolonged urological procedure in the lateral decubitus position. The patient's postoperative course was complicated by rhabdomyolysis manifested by elevated levels of serum creatine phosphokinase and the presence of myoglobin in urine and blood. To prevent renal failure, we managed the patient in the intensive care unit with generous volumes of intravenous fluids, forced diuresis, and urine alkalization. Subsequently, the patient had an uneventful recovery. The linkage between surgical positioning, prolonged surgery time, and rhabdomyolysis is discussed.
KW - Lateral position
KW - Prolonged urological surgery
KW - Rhabdomyolysis
UR - http://www.scopus.com/inward/record.url?scp=33847167137&partnerID=8YFLogxK
U2 - 10.1016/j.jclinane.2006.06.002
DO - 10.1016/j.jclinane.2006.06.002
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AN - SCOPUS:33847167137
SN - 0952-8180
VL - 19
SP - 64
EP - 66
JO - Journal of Clinical Anesthesia
JF - Journal of Clinical Anesthesia
IS - 1
ER -