2020, Number 12
<< Back Next >>
Revista Médica Sinergia 2020; 5 (12)
Fat embolism syndrome and its clinical features
San Lee RL, González ADE, Zamora HA
Language: Spanish
References: 16
Page: 1-12
PDF size: 312.97 Kb.
ABSTRACT
Fat embolism is the obstruction of the blood vessels by fatty globules, as a
consequence of fracture of long bones, or multiple fractures and even
extensive wounds. Fat embolism can trigger fat embolism syndrome in a
small group of patients, it can produce severely progressive symptoms. In
the absence of early diagnosis and timely treatment, the patient may die.
There are two theories about the pathophysiology of the disease, which
explain the characteristic symptoms that are the classical triad (respiratory
failure, neurological deficit and petechial rash). A series of criteria are used
for diagnosis in conjunction with imaging and laboratory studies. Treatment
is complex and varied among the different intensive care units, and the
greatest challenge is to achieve a timely diagnosis.
REFERENCES
Lesta D. Whalen MD, Sandeep P. Knot MD, Stephen W. Standage. “High- Dose Rosuvastatin Treatment for Multifocal Stroke in Trauma- Indiced Cerebral Fat Embolism Syndrome: A Case Report” Pediatric Neurology Journal. Abril 2014, 51: 410- 413.http://dx.doi.org/10.1016/j.pediatmeurol2014.04.025
Lauren E. Fukumoto, Kathryn D. Fukumoto. “Fat Embolism Syndrome” Nurs Clinical N Am 53 (2018) de la página 335-347. https://doi.org/10.1016/j.cnur.2018.04.003.
Kevin J. Cronin, Cristopher B. Hayes. “Early- Onset Fat Embolism Syndrome” The Journal of Bone and Joint Surgery, Junio 2018,8:e44. Página 1-6. http://dx.doi.org/10.2106/JBJS.CC.17.00175.
David L. Rothberg, Christopher A. Makarewich. “Fat Embolism and Fat Embolism Syndrome” Journal of the American of Orthopaedic Surgeons. 2018,00:1-10. http://doi.org/10.5435/JAAOS-D-17-00571
Katrina Newbigin, Carolina A. Souza. “Fat embolism síndrome: State-of-the-art review focused on pulmonary imaging findings” Respiratory Medicine 113 (2016) 93-100. https://dx.doi.org/10.1016/j.rmed.2016.01.018
L. Frank, Fernández M.J. Frangella. “Embolia pulmonar grasa. Presentación de un caso”. Revista Argentina de Radiología RAR. 2015; 79 (4):209-213. https://dx.doi.org/10.1016/j.rard.2014.12.001
Dimitri A. Tsitsikas, Giorgio Gallinella. “Bone marrow necrosis and fat embolism síndrome in sickle cell disease: Increased susceptibility of patients with non-SS genotypes and possible association with human parvovirus B19 infection” Blood Reviews 28: (2014)23-30. https://dx.doi.org/10.1016/j.blre.2013.12.002.
Nattapol Uransilp, Somat Muengtaweepongsa. “Fat Embolism Syndrome: A case report and Review Literature” Hindawi, Abril 2018 páginas 1-6. https://doi.org/10.1155/2018/1479850
Michalis Panteli, Anastasios Lampropoulos. “Fat Embolism Following pelvic injuries: A subclinical event or an increased risk of mortality? Injury. Int J. Care Injured 45 (2014) 645-646. https://dx.doi.org/10.1016/j.injury.2013.11.018
Jagroop S. Saran, Ali H. Hussain.”Visual Diagnosis in Emergency Medicine, Cerebral Fat Embolism Syndrome” The Journal of Emergency Medicine. Vol 58, No 2 pp e95-e96.2019. https://doi.org/10.1016/j.jemermed.2019.10.025
Ethan KOSOVA, Brian Bergmark. “Fat Embolism Syndrome”. AHA Circulation (2015);131:317-320. http://circ.ahajournals.org/lookup/suppl/doi:10.1161/CIRCULATIONAHA.114.010835/-/dc1.
Kevin J. Cronin, Cristopher B. Hayes. “Early- Onset Fat Embolism Syndrome” The Journal of Bone and Joint Surgery, Junio 2018, 8:e44. Página 1-6. http://dx.doi.org/10.2106/JBJS.CC.17.00175.
Taco J. Blokhuis, Hans-Christoph Pape. “Timing of definitive fixation of mayor long bone fractures: Can fat embolism síndrome be prevented?” Injury, Int. Care Injured 48S (2017) S3-S6. https://dx.doi.org/10.1016/j.injury.2017.04.015
Robin Hall Dunn, Trevor Jackson. “Fat emboli síndrome and the orthopaedic trauma surgeon: lessons learned and clinical recommendations” International Orthopaedics (SICOT). Published online 30 May 2017. https://doi.org/10.1007/s00264-017-3507-1
Richa Aggarwal, Arnab Banerjee. “Clinical characteristics and management of patients with fat embolism síndrome in level I Apex Trauma Center” Chinese Journal of Traumatology 22 (2019) 172-176 https://doi.org/10.1016/j.cjtee.2019.01.007
Yihua Zhou, Ying Yuan. “Pathogenesis, diagnosis and treatment of cerebral fat embolism” Chinese Journal of Traumatology 18 (2015) 120-12. https://doi.org/10.1016/j.cjtee.2015.03.001