J Clin Anesth. 2007 Feb;19(1):64-6.

Rhabdomyolysis: another complication after prolonged surgery.

Alterman I, Sidi A, Azamfirei L, Copotoiu S, Ezri T.

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Department of General Intensive Care Unit, Edith Wolfson Medical Center, the Tel Aviv University Sackler School of Medicine, Holon 58100, Israel.

Abstract

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.

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Bildsten SA, Dmochowski RR, Spindel MR, Auman JR. J Urol. 1994 Dec; 152(6 Pt 1):1970-2.
[Rhabdomyolysis after prolonged knee-chest position]. [Ann Fr Anesth Reanim. 1986]
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Cited by 1 PubMed Central article

Rhabdomyolysis recognized after elevation of liver enzymes following prolonged urologic surgery with lateral decubitus position -A case report-. [Korean J Anesthesiol. 2011]
Rhabdomyolysis recognized after elevation of liver enzymes following prolonged urologic surgery with lateral decubitus position -A case report-.
Lee GY, Lee H, Kim YJ. Korean J Anesthesiol. 2011 Oct; 61(4):341-3. Epub 2011 Oct 22.

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