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Postoperative hypoxemia due to fat embolism
Although the reported incidence of fat embolism syndrome (FES) is low (approximately 1%), it is likely that microscopic fat emboli are showered during manipulation of long bone fractures. Even though there continues to be debate regarding the etiology and proposed mechanism responsible for FES, sign...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3168358/ https://www.ncbi.nlm.nih.gov/pubmed/21957420 http://dx.doi.org/10.4103/1658-354X.84115 |
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author | Bhalla, Tarun Sawardekar, Amod Klingele, Kevin Tobias, Joseph D. |
author_facet | Bhalla, Tarun Sawardekar, Amod Klingele, Kevin Tobias, Joseph D. |
author_sort | Bhalla, Tarun |
collection | PubMed |
description | Although the reported incidence of fat embolism syndrome (FES) is low (approximately 1%), it is likely that microscopic fat emboli are showered during manipulation of long bone fractures. Even though there continues to be debate regarding the etiology and proposed mechanism responsible for FES, significant systemic manifestations may occur. Treatment is generally symptomatic based on the clinical presentations. We report a 10-year-old girl who developed hypoxemia following treatment of a displaced Salter-Harris type II fracture of the distal tibia. The subsequent evaluation and hospital course pointed to fat embolism as the most likely etiology for the hypoxemia. We discuss the etiology for FES, review the proposed pathophysiological mechanisms responsible for its clinical manifestations, present currently accepted diagnostic criteria, and discuss its treatment. |
format | Online Article Text |
id | pubmed-3168358 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-31683582011-09-28 Postoperative hypoxemia due to fat embolism Bhalla, Tarun Sawardekar, Amod Klingele, Kevin Tobias, Joseph D. Saudi J Anaesth Case Report Although the reported incidence of fat embolism syndrome (FES) is low (approximately 1%), it is likely that microscopic fat emboli are showered during manipulation of long bone fractures. Even though there continues to be debate regarding the etiology and proposed mechanism responsible for FES, significant systemic manifestations may occur. Treatment is generally symptomatic based on the clinical presentations. We report a 10-year-old girl who developed hypoxemia following treatment of a displaced Salter-Harris type II fracture of the distal tibia. The subsequent evaluation and hospital course pointed to fat embolism as the most likely etiology for the hypoxemia. We discuss the etiology for FES, review the proposed pathophysiological mechanisms responsible for its clinical manifestations, present currently accepted diagnostic criteria, and discuss its treatment. Medknow Publications 2011 /pmc/articles/PMC3168358/ /pubmed/21957420 http://dx.doi.org/10.4103/1658-354X.84115 Text en Copyright: © Saudi Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Bhalla, Tarun Sawardekar, Amod Klingele, Kevin Tobias, Joseph D. Postoperative hypoxemia due to fat embolism |
title | Postoperative hypoxemia due to fat embolism |
title_full | Postoperative hypoxemia due to fat embolism |
title_fullStr | Postoperative hypoxemia due to fat embolism |
title_full_unstemmed | Postoperative hypoxemia due to fat embolism |
title_short | Postoperative hypoxemia due to fat embolism |
title_sort | postoperative hypoxemia due to fat embolism |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3168358/ https://www.ncbi.nlm.nih.gov/pubmed/21957420 http://dx.doi.org/10.4103/1658-354X.84115 |
work_keys_str_mv | AT bhallatarun postoperativehypoxemiaduetofatembolism AT sawardekaramod postoperativehypoxemiaduetofatembolism AT klingelekevin postoperativehypoxemiaduetofatembolism AT tobiasjosephd postoperativehypoxemiaduetofatembolism |