Abstract
Fat embolism occurs in all patients with long bone fractures and intra-medullary reaming of long bone but is usually asymptomatic. A few patients will have pulmonary, cerebral and dermal dysfunction; this triad is called fat embolism syndrome (FES). We report a case of FES developed after intramedullary nailing of both femurs that was successfully managed in our surgical intensive care unit (SICU).
© 2010 Shaikh, Al Ariff, Ummunnisa, Abdullah, licensee Bloomsbury Qatar Foundation Journals.
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2010-06-01
2024-03-29
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References
-
Von Bergmonn E. Ein fall todlicher fettenbolic. Berl Klin Wochenscher. 1873; 10::385.
[Google Scholar]
-
Bulger EM, Smith DG, Mair RV, et al., Fat embolism syndrome: A 10 years review. Arch Surg. 1997; 132::435–439.
[Google Scholar]
-
Geaogopoulos Dimitris. Fat embolism syndrome clinical examination is still the preferable diagnostic method. Chest. 2003 April;:1196.
[Google Scholar]
-
Fabian TC, Hoots AV, Stanford DS. Fat embolism syndrome, prospective evaluation in 92 fractured patients. Crit Care Med. 1990; 18::42–46.
[Google Scholar]
-
Shapiro MP, Hayes JA. Fat embolism in sickle cell disease. Report of a case with brief review of literature. Arch Intern Med. 1984; 14:1:181–182.
[Google Scholar]
-
Dillerud E. Abdominoplasty combined with suction lipoplasty: A study of complications, revision and risk factors in 487 cases. Ann Plast Surg. 1990; 25::48–53.
[Google Scholar]
-
Glossing H, Pellegrini V. FES:A review of pathology and physiological basis of treatment. Clin Orthopedics. 1982; 165::68–82.
[Google Scholar]
-
Baker PL, Paxel JA, Peltier LF. Free fatty acids, catecholamine and arterial hypoxia in patients with fat embolism. J Trauma. 1971; 11::1026–1030.
[Google Scholar]
-
kropfl Albert, Davies James, Berger Udo, et al., Intra-medullary pressure and bone marrow fat embolization in reamed and undreamed femoral ndiling. J Orthpedic Research. 2005; 17:2:261–268.
[Google Scholar]
-
Riding G, Daly K, Hytchinson S, et al., Paradoxical cerebral embolization, an'explanation for fat embolism syndrome. J Bone and Joint Surg Br. 2004; 86:1:95–98.
[Google Scholar]
-
Guard AR, Wilson RE. The FES. J Bone and Joint Surgery. 1974; 56B::408–416.
[Google Scholar]
-
Byrick RJ. Fat embolism and post operative coagulopathy. Can J Anesth. 2001; 48::618–621.
[Google Scholar]
-
Alho A. Fat embolism syndrome, Etiology pathogenesis and treatment. Acta Chir Scand. 1980; 49::75–85.
[Google Scholar]
-
Murray DA, Racz GB. Fat embolism syndrome: A rational for treatment. J Bone Joint Surg. 1974; 56B::1338–1349.
[Google Scholar]
-
Schonfeld SA, et al., Fat embolism prophylaxis with corticosteroid A prospective study in high risk patients. Ann IntMed. 1983; 99::438–443.
[Google Scholar]
-
Lindeque BGP, Schoeman HS, Dommissen GF, et al., Fat embolism syndrome. A double blind therapeutic study. J Bone Joint Surg. 1987; 69::128–131.
[Google Scholar]
-
Vanden Brande EG, Hellemans S, De Schepper A, et al., Post-traumatic severe fat embolism syndrome, with uncommon CT findings. Anesth Intensive Care. 2006; 34::102–106.
[Google Scholar]
-
Stoeger A, Daniaux M, Feiber S, et al., MRI finding in cerebral fat embolism. Eur Radiol. 1998; 8:9:1590–1593.
[Google Scholar]
-
Forteza AM, Koch S, Romano JG. Transcranial Doppler detection of fat emboli. Stroke. 1999; 30:12:2687–2691.
[Google Scholar]
-
Wenda K, Runkel M, Ritter G. Pathogenesis and clinical relevance in medullary nailing demonstrated by intra-operative echocardiography. Injury. 1993; 24:1:573–581.
[Google Scholar]
-
Thierry four me
, lard-Baron Antoine veil, Loubiers yenn, et al., Early fat embolism after liposuction. Anesthesiology. 1998; 89::782–784.
[Google Scholar]
-
Verdrime JM, Guillaime C,
Gagnicu
, et al., Bronchoalveolar lavage in trauma patients for diagnosis of fat embolism syndrome. Chest. 1992; 102::1323–1327.
[Google Scholar]
-
Jawed M, Naseem M. An update on fat embolism syndrome. Pak J Med Scien. 2005; 21:3:2–6.
[Google Scholar]
-
Enneking FK. Cardiac arrest during total knee replacement. J Clin Anesth. 1995; 7::253–263.
[Google Scholar]
-
Wong MV, Tsui HE, Young SH, et al., Continuous pulse oximeter, for in apparent hypoxemia after long bone fractures. J Trauma. 2004; 56:2:356–362.
[Google Scholar]
-
Behr man SW, Fabian TC, kudsk KA, Taylor JC. Improved outcome with femur fracture: early VS delayed fixation. J Trauma. 1990; 30::792–797.
[Google Scholar]
-
Wheel Wright EF, Byrick RJ, worth Wiggles, et al., Hypotension during cemented arthoplasty, relationship with cardiac output and fat embolism. J Bone and Joint Surg. 1993; 75::715–723.
[Google Scholar]
-
Nikolic S, Micic J, Savic S, et al., Srp Arh Celok Lek. 2003; 131:5–6:244–248.
[Google Scholar]
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