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Rhabdomyolysis and operating position
Author(s) -
Targa L.,
Droghetti L.,
Caggese G.,
Zatelli R.,
Roccella P.
Publication year - 1991
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1991.tb09362.x
Subject(s) - medicine , rhabdomyolysis , supine position , creatine kinase , spinal surgery , anesthesia , surgery , myoglobin , prone position , myopathy , chemistry , organic chemistry
Summary Rhabdomyolysis during routine surgery was studied in three groups of patients who had surgery, with limited trauma to muscle, in the lateral and supine positions, and prone on the spinal frame. A range of blood tests was performed (before surgery, and on the first, third and seventh day after operation). These showed that a creatine kinase increase in the 24 hours and the early appearance of myoglobin in the serum were the best indicators. Rhabdomyolysis was associated with the lateral position and long lasting surgery. No blood test before surgery was of any predictive value.