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Local lower extremity hyperkalemia during robotic prostatectomy: A case report

Year: 2025

Type: article

Abstract: 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.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2025.103014

Authors: James Harvey Jones, Justin Wain

Institution: University of North Carolina at Chapel Hill

Language: English

Topic: Potassium and Related Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160