Rhabdomyolysis: another complication after prolonged surgery

被引：35
|
作者：
Alterman, Igal
Sidi, Ami
Azamfirei, Leonard
Copotoiu, Sanda
Ezri, Tiberiu [1 ]
机构：
[1] Tel Aviv Univ, Sackler Sch Med, Dept Anesthesia, Edith Wolfson Med Ctr, IL-58100 Holon, Israel
[2] Univ Louisville, Outcomes Res Grp, Louisville, KY 40292 USA
[3] Tel Aviv Univ, Sackler Sch Med, Dept Gen Intens Care Unit, Edith Wolfson Med Ctr, IL-58100 Holon, Israel
[4] Tel Aviv Univ, Sackler Sch Med, Dept Urol, Edith Wolfson Med Ctr, IL-58100 Holon, Israel
[5] Univ Med & Pharm, Dept Anesthesia & Intens Care, Targu Mures, Romania
来源：
JOURNAL OF CLINICAL ANESTHESIA | 2007年 / 19卷 / 01期
关键词：
prolonged urological surgery; lateral position; rhabdomyolysis;
D O I：
10.1016/j.jclinane.2006.06.002
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
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. (C) 2007 Elsevier Inc. All rights reserved.
引用
收藏
页码：64 / 66
页数：3
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