The Experts below are selected from a list of 8784 Experts worldwide ranked by ideXlab platform
Akiyoshi Namiki - One of the best experts on this subject based on the ideXlab platform.
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the effect of Lithotomy Position on arterial blood pressure after spinal anesthesia
Anesthesia & Analgesia, 1995Co-Authors: Masayuki Miyabe, Hajime Sonoda, Akiyoshi NamikiAbstract:CommentThis simple yet clinically relevant study demonstrated the effectiveness of proper placement in the Lithotomy Position for attenuating systolic hypotension without elevating the sensory level of subarachnoid block (SAB). The thighs of the women were meticulously placed at 90® at the hips to t
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Effect of the Lithotomy Position on spinal anesthesia with hyperbaric tetracaine.
Journal of Anesthesia, 1994Co-Authors: Yoshiki Masuda, Yasuo Shichinohe, Tetsuo Omote, Hiromi Takahashi, Hiroshi Iwasaki, Akiyoshi NamikiAbstract:This study was performed to determine the effects of Lithotomy Position on the spread of analgesia and hemodynamics following spinal anesthesia with 0.5% hyperbaric tetracaine. Thirty patients who underwent hysterectomy due to myoma uteri were studied. All patients received spinal anesthesia in the left lateral decubitus Position and were turned supine immediately after intrathecal administration of the drug. Fifteen patients were then placed in the horizontal Lithotomy Position within 10 s, and the remaining 15 were kept in the horizontal supine Position for 30 min. There were no significant differences between the groups in mean arterial pressure, heart rate, cardiac output, and in the cephalad spread of analgesia. The Lithotomy Position had no effect on the spread of analgesia or anesthetic course of spinal anesthesia with hyperbaric tetracaine.
James R Auman - One of the best experts on this subject based on the ideXlab platform.
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the risk of rhabdomyolysis and acute renal failure with the patient in the exaggerated Lithotomy Position
The Journal of Urology, 1994Co-Authors: Scott A Bildsten, Roger R Dmochowski, Michael R Spindel, James R AumanAbstract:AbstractRhabdomyolysis with subsequent renal failure has been well documented as a complication of major trauma. However, this complication from elective urological procedures is less well recognized. In 10 patients who underwent elective urethroplasty serum levels of creatine kinase and urinary myoglobin were examined preoperatively and postoperatively. These patients were placed in the Lithotomy Position for several hours and had minimal muscle dissection. Serum creatine kinase was noted to increase significantly postoperatively to greater than 1,000 units and in 1 patient myoglobin was detected in the urine. This finding indicates that there is, indeed, a risk of muscle injury and potential rhabdomyolysis in these patients from the use of the exaggerated Lithotomy Position.
Carlos A Vaamonde - One of the best experts on this subject based on the ideXlab platform.
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acute renal failure due to rhabdomyolysis associated with the extreme Lithotomy Position
American Journal of Kidney Diseases, 1993Co-Authors: Jose G Nieto, Robert K Rhamy, S K C Chandarlapaty, Carlos A VaamondeAbstract:Abstract A patient who developed acute renal failure secondary to rhabdomyolysis associated with the use of the extreme Lithotomy Position for 6 hours during radical perineal prostatectomy is described. It appears that muscle ischemia due to compression of the lumbar and pelvic muscles resulted in muscle injury. Intense muscle uptake of technetium 99m methylene diphosphonate assisted in localizing the muscles involved and ascertaining the extent of the injury. Review of the literature disclosed seven other patients with a similar association. All patients complained of muscle pain shortly after recovery from anesthesia. Early recognition and aggressive treatment with intravenous fluids may prevent the development of acute renal failure.
Hwanjeong Jeong - One of the best experts on this subject based on the ideXlab platform.
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Lithotomy Position related rhabdomyolysis of gluteus maximus muscles demonstrated by bone scintigraphy
Clinical Nuclear Medicine, 2008Co-Authors: Myunghee Sohn, Hwanjeong JeongAbstract:: Major urologic surgery performed in the Lithotomy Position sometimes results in the serious complications of rhabdomyolysis and acute renal failure. A 54-year-old man with prostate cancer (weight, 84 kg; height, 171 cm; body mass index, 28.7) underwent radical perineal prostatectomy in the Lithotomy Position for 7 hours. On the first postoperative day, the patient complained of numbness and pain of both thighs with oliguria. Serum creatinine kinase and myoglobin levels were elevated. Bone scintigraphy on the second day, which was confirmed by MRI, showed extraosseous increased activity in gluteus maximus muscle regions compatible with rhabdomyolysis.
Scott A Bildsten - One of the best experts on this subject based on the ideXlab platform.
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the risk of rhabdomyolysis and acute renal failure with the patient in the exaggerated Lithotomy Position
The Journal of Urology, 1994Co-Authors: Scott A Bildsten, Roger R Dmochowski, Michael R Spindel, James R AumanAbstract:AbstractRhabdomyolysis with subsequent renal failure has been well documented as a complication of major trauma. However, this complication from elective urological procedures is less well recognized. In 10 patients who underwent elective urethroplasty serum levels of creatine kinase and urinary myoglobin were examined preoperatively and postoperatively. These patients were placed in the Lithotomy Position for several hours and had minimal muscle dissection. Serum creatine kinase was noted to increase significantly postoperatively to greater than 1,000 units and in 1 patient myoglobin was detected in the urine. This finding indicates that there is, indeed, a risk of muscle injury and potential rhabdomyolysis in these patients from the use of the exaggerated Lithotomy Position.