Related Experiment Video
Updated: Jul 16, 2026
08:50
5/6th Nephrectomy in Combination with High Salt Diet and Nitric Oxide Synthase Inhibition to Induce Chronic Kidney Disease in the Lewis Rat
Published on: July 3, 2013
Rhabdomyolysis: another complication after prolonged surgery
Igal Alterman1, Ami Sidi, Leonard Azamfirei
1Department of General Intensive Care Unit, Edith Wolfson Medical Center, the Tel Aviv University Sackler School of Medicine, Holon 58100, Israel.
Journal of Clinical Anesthesia
|February 27, 2007
Summary
Prolonged surgery in the lateral decubitus position can cause rhabdomyolysis, a condition damaging muscles. Prompt intensive care management with fluids and urine alkalization prevented kidney failure in a young patient.
Area of Science:
- Urology
- Nephrology
- Intensive Care Medicine
Background:
- Surgical positioning and duration are critical factors in patient outcomes.
- Rhabdomyolysis is a serious condition that can lead to acute kidney injury.
- Lateral decubitus position is common in urological procedures.
Observation:
- A young patient developed rhabdomyolysis post-urological surgery.
- Elevated serum creatine phosphokinase and myoglobinuria indicated muscle breakdown.
- The procedure was prolonged and performed in the lateral decubitus position.
Findings:
- Intensive care unit management included aggressive intravenous fluid hydration.
- Forced diuresis and urine alkalization were employed to protect renal function.
- The patient experienced a full recovery without complications.
Implications:
- Highlights the risk of rhabdomyolysis associated with prolonged lateral decubitus positioning in urology.
- Emphasizes the importance of vigilant monitoring and prompt management of rhabdomyolysis to prevent renal failure.
- Suggests a need for further research into preventative strategies for positioning-induced rhabdomyolysis.
More Related Videos
Related Concept Videos
01:24Hemodialysis II: Procedure and Complications
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
01:24Nephrotic Syndrome I : Introduction
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of fluid...
01:26Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
01:21Acute Pancreatitis II: Pathophysiology
The pathophysiology of acute pancreatitis centers on injury to pancreatic acinar cells, which initiates a cascade of harmful intracellular events.This injury leads to premature activation of trypsinogen to trypsin in the pancreas. Trypsin then activates other digestive enzymes, such as chymotrypsin, elastase, and phospholipase A2, which begin breaking down pancreatic tissue. The resulting autodigestion causes local inflammation, tissue swelling, hemorrhage, and fat necrosis.Injured acinar cells...
01:22Complications of Diabetes Mellitus
Diabetes mellitus is a chronic metabolic disorder characterized by persistent hyperglycemia due to insulin deficiency, resistance, or both. Prolonged hyperglycemia disrupts metabolic homeostasis and leads to acute and chronic complications.Acute ComplicationsAcute complications result from sudden metabolic imbalance.Diabetic ketoacidosis (DKA) mainly appears in type 1 diabetes but may also develop in type 2 diabetes, particularly under extreme stress. It arises from severe insulin deficiency,...