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- Title
spinal anaesthesia.
- Authors
İLBAN, Ömür; BAŞ, Mehmet Ali; ÇELİK, Jale Bengi; DUMAN, Ateş
- Abstract
Fat embolism syndrome (FES) is a multisystem disorder and often emerges following long bone fractures. In our report, a 34 year-old male patient diagnosed with FES is being presented. 2 days after admission to ICU, his consciousness and respiration deteriorated, and he needed to be intubated and connected to mechanical ventilator. Any signs consistent with pulmonary infiltrates were absent. Diffusion-weighted cranial magnetic resonance imaging (MRI) manifested millimetric multiple hyperintense lesions, compatible with brain involvement. He was operated for orthopedic fractures on 3rd and 6th days. Control MRI on 8th day demonstrated that the areas of diffusion restriction were regressed. On 9th day, he was extubated following improvement in arterial blood gas analyses and consciousness. It is seen in literature that two theories have been proposed, explaining FES etiology. According to first theory, the released fat droplets from site of the trauma pass through right heart, reach lungs' capillary bed and cause ventilation-perfusion mismatch. Second theory, however, offers a biochemical mechanism. Central nervous system involvement in FES has been rarely reported. We confer in our report that fat globules might transmigrate through pulmonary vasculature, enter systemic circulation and eventually cause neurologic symptoms.
- Subjects
FAT embolism; BONE fractures; ORTHOPEDIC surgery; MAGNETIC resonance imaging; TISSUE wounds
- Publication
Turkiye Klinikleri Journal of Anesthesiology Reanimation, 2018, Vol 16, Issue 3, p92
- ISSN
1304-0499
- Publication type
Case Study
- DOI
10.5336/anesthe.2018-63902