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fat embolism syndrome

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https://www.readbyqxmd.com/read/29123567/neurological-effects-of-fat-embolism-syndrome-a-case-report
#1
Emma Shacklock, Andrew Gemmell, Nigel Hollister
Fat embolism syndrome is a serious multi-system pathology which classically affects the respiratory system, neurological system and causes a petechial rash. We present the case of a 20-year-old farmer who developed fat embolism syndrome following a traumatic femoral fracture. Features developed within 24 h of injury and necessitated a prolonged stay in Intensive Care. He exhibited significant signs of cerebral fat embolism syndrome including coma and seizures but went on to make full functional recovery. Magnetic resonance imaging is the recommended imaging modality for patients with suspected cerebral fat embolism...
November 2017: J Intensive Care Soc
https://www.readbyqxmd.com/read/29076330/assessment-of-correlation-between-time-period-and-risk-of-fat-embolism-after-liposuction-animal-model
#2
Kwang Ryeol Lim, Jeong-Min Cho, Chung-Min Yoon, Keun-Cheol Lee, Sang-Yun Lee, Mi-Ha Ju
Background: Liposuction has become one of the most frequently performed operation among the aesthetic surgical field recently. Fat embolism syndrome after liposuction is overlooked or underestimated easily. Occasionally, fulminating fat embolism syndrome could be developed and lead to critical situation within 2-3 days after lipoplasty. Time period changes in amount of circulating fat particle and histology of major organs are not studied yet. Methods: This study was conducted using 18 male Sprague Dawley rats aged 12weeks and weighing 500-628g (562g on average)...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29066903/fat-embolism-after-fractures-in-duchenne-muscular-dystrophy-an-underdiagnosed-complication-a-systematic-review
#3
REVIEW
David Feder, Miriam Eva Koch, Beniamino Palmieri, Fernando Luiz Affonso Fonseca, Alzira Alves de Siqueira Carvalho
Duchenne muscular dystrophy is the most frequent lethal genetic disease. Several clinical trials have established both the beneficial effect of steroids in Duchenne muscular dystrophy and the well-known risk of side effects associated with their daily use. For many years it has been known that steroids associated with ambulation loss lead to obesity and also damage the bone structure resulting in the bone density reduction and increased incidence of bone fractures and fat embolism syndrome, an underdiagnosed complication after fractures...
2017: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/29066650/subarachnoidal-fat-droplet-deposition-and-fat-embolism-syndrome
#4
Keisuke Yamamoto, Shigeki Kushimoto
No abstract text is available yet for this article.
October 24, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/29062816/fat-embolism-syndrome-in-femoral-shaft-fractures-does-the-initial-treatment-make-a-difference
#5
Jânio José Alves Bezerra Silva, Diogo de Almeida Diana, Victor Eduardo Roman Salas, Caio Zamboni, José Soares Hungria Neto, Ralph Walter Christian
OBJECTIVE: To identify the risk factors correlated with the initial treatment performed. METHODS: This is a retrospective study involving a total of 272 patients diagnosed with femoral shaft fractures. Of the patients, 14% were kept at rest until the surgical treatment, 52% underwent external fixation, 10% received immediate definitive treatment, and 23% remained in skeletal traction (23%) until definitive treatment. RESULTS: There were six cases of fat embolism syndrome (FES), which showed that polytrauma is the main risk factor for its development and that initial therapy was not important...
September 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29051628/deadly-acute-decompression-sickness-in-risso-s-dolphins
#6
A Fernández, E Sierra, J Díaz-Delgado, S Sacchini, Y Sánchez-Paz, C Suárez-Santana, M Arregui, M Arbelo, Y Bernaldo de Quirós
Diving air-breathing vertebrates have long been considered protected against decompression sickness (DCS) through anatomical, physiological, and behavioural adaptations. However, an acute systemic gas and fat embolic syndrome similar to DCS in human divers was described in beaked whales that stranded in temporal and spatial association with military exercises involving high-powered sonar. More recently, DCS has been diagnosed in bycaught sea turtles. Both cases were linked to human activities. Two Risso's dolphin (Grampus griseus) out of 493 necropsied cetaceans stranded in the Canary Islands in a 16-year period (2000-2015), had a severe acute decompression sickness supported by pathological findings and gas analysis...
October 19, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28947428/fat-attacks-a-case-of-fat-embolisation-syndrome-postliposuction
#7
Adam Ali, George Theobald, Mohammed Asif Arshad
Liposuction is a procedure commonly performed in the UK usually with a low incidence of serious sequelae; however with larger patients and increased volumes of lipoaspirate, complications have been reported more frequently. One of the rare but very serious complications postliposuction is fat embolism syndrome (FES), a life-threatening condition difficult to diagnose and limited in treatment.The authors present the case of a 45-year-old woman who was admitted to the intensive care unit postelective liposuction for bilateral leg lipoedema...
September 25, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28932982/cerebral-fat-embolism-recognition-complications-and-prognosis
#8
Daniel Agustín Godoy, Mario Di Napoli, Alejandro A Rabinstein
Fat embolism syndrome (FES) is a rare syndrome caused by embolization of fat particles into multiple organs including the brain. It typically manifests with petechial rash, deteriorating mental status, and progressive respiratory insufficiency, usually occurring within 24-48 h of trauma with long-bone fractures or an orthopedic surgery. The diagnosis of FES is based on clinical and imaging findings, but requires exclusion of alternative diagnoses. Although there is no specific treatment for FES, prompt recognition is important because it can avoid unnecessary interventions and clarify prognosis...
September 20, 2017: Neurocritical Care
https://www.readbyqxmd.com/read/28910912/-percutaneous-catheterization-for-extracorporeal-membrane-oxygenation-a-retrospective-case-series
#9
X Y Li, H Y He, X Tang, R Wang, C Y Zhang, S Q Wang, B Sun, Z H Tong
Objective: To review the experience of percutaneous catheterization for extracorporeal membrane oxygenation (ECMO) by respiratory intensivists at a single institution. Methods: A retrospective review of 87 patients undergoing percutaneous catheterization for ECMO in Department of Respiratory and Critical Care Medicine of Beijing Chaoyang Hospital from November 2009 to January 2017. Subject demographics, type of support, cannulation configuration, types of cannulas, use of imaging modalities, and complications were recorded and summarized...
September 12, 2017: Chinese Journal of Tuberculosis and Respiratory Diseases
https://www.readbyqxmd.com/read/28871382/beyond-stroke-uncommon-causes-of-diffusion-restriction-in-the-basal-ganglia
#10
Alok A Bhatt, Justin L Brucker, Jeevak Almast
In the emergency setting, a regional area of restricted diffusion involving the basal ganglia typically represents an acute infarct due to small vessel occlusion. However, it is important to consider additional differentials, specifically systemic causes. This article will review anatomy of the basal ganglia and pertinent associated vasculature, followed by other entities that can be a cause of restricted diffusion. These include hemolytic uremic syndrome, hypereosinophilic syndrome, fat embolism, meningitis, and hypoxic-ischemic injury...
September 4, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28828108/rare-imaging-of-a-known-entity-fat-embolism-seen-on-ct-in-lower-extremity-vein-after-trauma
#11
Varun Chowdhary, Varun Mehta, Tushar Bajaj, Jonathan Scheiner
Fat embolism occurs in the vast majority of patients who have had trauma (approximately 90%). The most common occurrence is after long bone fracture. It has also been noted in cases after orthopedic surgery. Fat embolism is most often diagnosed when the clinical manifestations of fat embolism syndrome become apparent. Reported cases of fat emboli in transit are unusual. In our case, we present the rare finding of fat embolism seen on computed tomography in the lower extremity after a trauma.
September 2017: Radiology case reports
https://www.readbyqxmd.com/read/28667706/an-autopsy-case-of-non-traumatic-fat-embolism-syndrome
#12
Mai Sakashita, Shingo Sakashita, Akiko Sakata, Noriko Uesugi, Kazunori Ishige, Ichinosuke Hyodo, Masayuki Noguchi
Fat embolism syndrome (FES) occurs after long bone fractures and the symptoms appear 24-72 h after the initial trauma. Fat emboli can affect both the pulmonary and systemic circulation. Apart from the most common type of FES that originates from bone fracture, non-traumatic FES has been also reported. We have experienced an autopsy case of non-traumatic FES. An 81-year-old man with hepatocellular carcinoma associated with alcoholic liver cirrhosis suddenly lost consciousness before transcatheter arterial chemoembolization treatment for his disease and died 5 h after the episode...
September 2017: Pathology International
https://www.readbyqxmd.com/read/28662607/integrating-fat-embolism-syndrome-scoring-indices-in-sickle-cell-disease-a-practice-management-review
#13
Keneisha Bailey, Jagila Wesley, Adebayo Adeyinka, Louisdon Pierre
Fat embolism syndrome (FES) has been described in the literature as a rare complication of sickle cell disease (SCD). A review article published in 2005 reported 24 cases of FES associated with SCD. In many cases, a definitive diagnosis of FES in SCD is made on autopsy because of the lack of early recognition and the paucity of sensitive and specific testing for this syndrome. Patients with FES usually have a fulminant, rapidly deteriorating clinical course with mortality occurring within the first 24 hours...
January 1, 2017: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/28656454/fat-embolism-syndrome
#14
Anselmo Caricato, Giovanni Russo, Daniele Guerino Biasucci, Maria Giuseppina Annetta
No abstract text is available yet for this article.
September 2017: Intensive Care Medicine
https://www.readbyqxmd.com/read/28610768/intracranial-subarachnoid-fat-and-hemorrhage-secondary-to-sacral-fracture-with-spondylopelvic-dissociation
#15
J Carreres Polo, M V Álvarez Martínez, D Sánchez Mateos
We describe a case of fat droplets and blood in the cerebral subarachnoid space secondary in a patient with a complex sacral fracture without associated cranial trauma, a few days after admission. To our knowledge, there is only one published case with similar findings and without any other underlying lesion as cause. We explain the differences in the mechanism of production between this direct fat embolism and brain fat embolism syndrome, which is an intravascular embolism with different radiological appearance...
June 10, 2017: Radiología
https://www.readbyqxmd.com/read/28501041/trauma-patient-with-fat-embolism-detected-on-computed-tomography
#16
Isabel Sousa, João Janeiro, Paula Campos, Isabel Távora
Fat embolism is frequent following fractures of long bones, however the development of the clinical syndrome of fat embolism (characterized by progressive respiratory distress, mental status depression and petechial rash) is rare, but relevant because of its potential severity. We report a case of a trauma patient with multiple fractures of the right lower limb in whom an emergency computed tomography scan showed fat emboli within the lumen of the homolateral common femoral vein. The imaging detection of macroscopic fat emboli should alert the clinician to the potential for subsequent fat embolism syndrome...
January 31, 2017: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/28449860/timing-of-definitive-fixation-of-major-long-bone-fractures-can-fat-embolism-syndrome-be-prevented
#17
Taco J Blokhuis, Hans-Christoph Pape, Jan-Paul Frölke
Fat embolism is common in patients with major fractures, but leads to devastating consequences, named fat embolism syndrome (FES) in some. Despite advances in treatment strategies regarding the timing of definitive fixation of major fractures, FES still occurs in patients. In this overview, current literature is reviewed and optimal treatment strategies for patients with multiple traumatic injuries, including major fractures, are discussed. Considering the multifactorial etiology of FES, including mechanical and biochemical pathways, FES cannot be prevented in all patients...
June 2017: Injury
https://www.readbyqxmd.com/read/28420628/liposuction-induced-fat-embolism-syndrome
#18
Colby A Cantu, Elizabeth N Pavlisko
No abstract text is available yet for this article.
April 18, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28316965/surgical-outcomes-of-biologic-fixation-for-subtrochanteric-fracture-using-locking-compression-plates
#19
Jae Hoon Jang, Jae Min Ahn, Hee Jin Lee, Nam Hoon Moon
PURPOSE: This study aimed to evaluate the surgical outcomes of biologic plating using locking compression plate-distal femur (LCP-DF) in patients with subtrochanteric fracture of the femur. MATERIALS AND METHODS: Between January 2010 and December 2013, 28 consecutive patients with subtrochanteric fractures of the femur, treated with biologic fixation using LCP-DF, were enrolled. Preoperative values, including patient age, sex, body mass index, fracture type, type of lung injury, and surgical timing from injury to surgery, were retrospectively evaluated...
March 2017: Hip & Pelvis
https://www.readbyqxmd.com/read/28144082/erratum-fat-embolism-syndrome
#20
(no author information available yet)
[This corrects the article on p. 47 in vol. 30, PMID: 23661916.].
January 2017: Lung India: Official Organ of Indian Chest Society
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