Pain management and clinical considerations of a rare case of rhabdomyolysis caused by a hyperextension position after open radical cystectomy

Autor:	Sylva El Kazma, Fabio H. De Carvalho Pavao, Virginie Georgia Comte
Jazyk:	English<br />Portuguese
Rok vydání:	2022
Předmět:	Cystectomy complications. Post-operative pain. Post-operative hyperkalemia. Severe muscular pain. Surgery position complications. Compartment syndrome. Medicine
Zdroj:	Revista Dor, Vol 29, Iss 2 (2022)
Druh dokumentu:	article
ISSN:	23000023 1647-3299
DOI:	10.24875/DOR.M23000023
Popis:	Compartment syndrome (CS) is caused by an excessive increase in compartment intramuscular pressure, in which measurement is the reference diagnostic tool. We examine the case of a 44-year-old man with invasive bladder cancer who underwent an open radical cystectomy. After extubation, the patient is transferred from the operating room to the intermediate care unit, where he complains of severe lumbar pain on a visual analog scale of 10 that is unresponsive to opioids and is diagnosed with rhabdomyolysis due to CS. Multidisciplinary care and multi-modal analgesia approaches were used; no fasciotomy was performed; and a favorable outcome was achieved.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/c87d9ccd6d2047bebd690a487e7c1d31 Zobrazit plný text záznamu View record in DOAJ