Jones James Harvey, Wain Justin
Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, US.
Urol Case Rep. 2025 Mar 18;60:103014. doi: 10.1016/j.eucr.2025.103014. eCollection 2025 May.
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.
机器人泌尿外科手术通常需要患者处于头低脚高的陡峭体位并将上肢收拢，这限制了血管通路和实验室样本采集。本文报告了一例因头低脚高体位导致下肢高钾血症的病例。该病例强调，在机器人手术中长时间处于头低脚高体位导致下肢灌注不足继发的局部高钾血症，可能对全身治疗无反应，而在恢复仰卧位时可能导致全身性高钾血症。
