| Diffuse alveolar hemorrhage: a rare manifestation of trauma. | |
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MedLine Citation:
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PMID: 21987968 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: Fat emboli syndrome (FES) is a disorder associated with both acute lung injury and acute respiratory distress syndrome. Both FES and diffuse alveolar hemorrhage (DAH) are bronchoscopically definable entities that may share a common etiology. We conducted a chart review analysis to examine the relationship between FES and DAH. METHODS: Retrospective chart review. RESULTS: Three cases of concurrent FES and DAH were identified. Long bone fracture and/or orthopedic procedures preceded all the events and were the likely inciting source for eventual acute lung injury. Bronchoalveolar lavage-evident DAH and FES was found in all these cases in association with hemoptysis and lung-attributed blood loss. Lung-protective ventilation and standard supportive care approaches proved sufficient in attaining good outcomes. CONCLUSION: Combined FES and DAH can occur in association with orthopedic injury and repair and are likely an under-recognized entity. |
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Authors:
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Patrick F Allan; Darius K Amjadi; Ralph L Haynes |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Military medicine Volume: 176 ISSN: 0026-4075 ISO Abbreviation: Mil Med Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-10-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2984771R Medline TA: Mil Med Country: United States |
Other Details:
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Languages: eng Pagination: 1071-6 Citation Subset: IM |
Affiliation:
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Department of Pulmonary, Critical Care, and Sleep Medicine Landstuhl Regional Medical Center, CMR 402, Box 307, APO AE 09180, Landstuhl, Germany. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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