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  • Title: [Rhabdomyolysis after prolonged knee-chest position].
    Author: Cruette D, Navarre MC, Pinaquy C, Siméon F.
    Journal: Ann Fr Anesth Reanim; 1986; 5(1):67-9. PubMed ID: 3706846.
    Abstract:
    Two cases are described of surgery for spondylolisthesis requiring prolonged knee-chest position (5 h 20 min and 4 h 30 min); acute renal failure with anuria occurred early in one case (within the first 24 h postoperatively), and later in the other case (on the 8th day). The diagnosis of rhabdomyolysis was made on the increase of CPK and myoglobin blood levels. Post-haemodialysis evolution was satisfactory. The possible mechanism was muscle compression against the rests. Diagnosis must be made quickly; the only treatment is early fasciotomy, with the supplying of alkali to prevent acute renal failure. It would appear that the knee-chest position can be kept a maximum of 3 h without any problem.
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