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2013, Number 1

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Med Sur 2013; 20 (1)

Embolismo graso

Carrillo-Esper R, Garnica-Escamilla MA, Lara-Caldera B, Carrillo-Córdova JR, Carrillo-Córdova CA, Rocha-Rodríguez MG

Language: Spanish
References: 16
Page: 26-29
PDF size: 260.07 Kb.


ABSTRACT

Fat embolism syndrome (FES) is a common and life-threatening clinical syndrome. It is characterized by release of fat droplets into systemic circulation after a traumatic or non traumatic event. Classically, it presents with the triad of pulmonary distress, mental status changes and petechial rash. The pathophysiology involves mechanical and biochemical mechanisms. The diagnosis of FES is clinical and supported by clinical-signs of pulmonary, cerebral and cutaneous dysfunction and confirmed by the demonstration of arterial hypoxemia in the absence of other disorders. The treatment of FES consists of general supportive measures, including splinting, maintenance of fluid and electrolyte balance, hemodynamic management and ventilator support. The use of corticosteroids is controversial. If FES is diagnosed and treated early the prognosis is good. We report the intensive care diagnosis and management of a patient who developed traumatic FES.


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