Rhabdomyolysis

Q: All of the following are indicated in rhabdomyolysis except?

A) 0.9 NS infusion
B) Alkalinization of urine
C) Mannitol 
D) Forced diuresis
E) Hemodialysis (HD)


Answer: E

All of the above are well known parts of management of rhabdomyolysis but HD failed to show any benefit in removing myoglobin or in prevention of kidney injury.



References: 

1. Mikkelsen TS, Toft P. Prognostic value, kinetics and effect of CVVHDF on serum of the myoglobin and creatine kinase in critically ill patients with rhabdomyolysis. Acta Anaesthesiol Scand 2005; 49:859.