Local lower extremity hyperkalemia during robotic prostatectomy: A case report
Robotic urologic surgery often requires patients to be placed in the steep Trendelenburg position with upper extremities tucked, limiting access for vascular lines and laboratory samples. A case of lower extremity hyperkalemia due to Trendelenburg positioning is presented. This case emphasizes that...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-05-01
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| Series: | Urology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442025000853 |
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| author | James Harvey Jones Justin Wain |
| author_facet | James Harvey Jones Justin Wain |
| author_sort | James Harvey Jones |
| collection | DOAJ |
| description | Robotic urologic surgery often requires patients to be placed in the steep Trendelenburg position with upper extremities tucked, limiting access for vascular lines and laboratory samples. A case of lower extremity hyperkalemia due to Trendelenburg positioning is presented. This case emphasizes that localized hyperkalemia, secondary to lower extremity hypoperfusion in the context of prolonged Trendelenburg positioning during robotic surgery, may not respond to systemic therapies, which could lead to systemic hyperkalemia upon return to the supine position. |
| format | Article |
| id | doaj-art-c7e696226b8c4f10be7a26facd13541e |
| institution | OA Journals |
| issn | 2214-4420 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj-art-c7e696226b8c4f10be7a26facd13541e2025-08-20T02:18:34ZengElsevierUrology Case Reports2214-44202025-05-016010301410.1016/j.eucr.2025.103014Local lower extremity hyperkalemia during robotic prostatectomy: A case reportJames Harvey Jones0Justin Wain1Corresponding author. The Department of Anesthesiology, N2198 UNC Hospitals, CB #7010, Chapel Hill, NC, 27599-7010, US.; Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USDepartment of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USRobotic urologic surgery often requires patients to be placed in the steep Trendelenburg position with upper extremities tucked, limiting access for vascular lines and laboratory samples. A case of lower extremity hyperkalemia due to Trendelenburg positioning is presented. This case emphasizes that localized hyperkalemia, secondary to lower extremity hypoperfusion in the context of prolonged Trendelenburg positioning during robotic surgery, may not respond to systemic therapies, which could lead to systemic hyperkalemia upon return to the supine position.http://www.sciencedirect.com/science/article/pii/S2214442025000853 |
| spellingShingle | James Harvey Jones Justin Wain Local lower extremity hyperkalemia during robotic prostatectomy: A case report Urology Case Reports |
| title | Local lower extremity hyperkalemia during robotic prostatectomy: A case report |
| title_full | Local lower extremity hyperkalemia during robotic prostatectomy: A case report |
| title_fullStr | Local lower extremity hyperkalemia during robotic prostatectomy: A case report |
| title_full_unstemmed | Local lower extremity hyperkalemia during robotic prostatectomy: A case report |
| title_short | Local lower extremity hyperkalemia during robotic prostatectomy: A case report |
| title_sort | local lower extremity hyperkalemia during robotic prostatectomy a case report |
| url | http://www.sciencedirect.com/science/article/pii/S2214442025000853 |
| work_keys_str_mv | AT jamesharveyjones locallowerextremityhyperkalemiaduringroboticprostatectomyacasereport AT justinwain locallowerextremityhyperkalemiaduringroboticprostatectomyacasereport |