Document Detail


Fat embolism and the fat embolism syndrome. A double-blind therapeutic study.
MedLine Citation:
PMID:  3818718     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fifty-five adults who had sustained a tibial fracture, or a femoral fracture, or both, were subjected to a double-blind randomised study to determine the efficacy of methylprednisolone in treating the fat embolism syndrome. This drug maintained arterial oxygen levels, stabilised or reduced the serum level of free fatty acids, and decreased the risk of the fat embolism syndrome in a statistically significant proportion of patients. Gurd's criteria for the diagnosis of the fat embolism syndrome were found inadequate. Other more sensitive criteria for early diagnosis and effective management were determined. There were no deaths or serious morbidity in our series.
Authors:
B G Lindeque; H S Schoeman; G F Dommisse; M C Boeyens; A L Vlok
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  69     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  1987 Jan 
Date Detail:
Created Date:  1987-03-30     Completed Date:  1987-03-30     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  128-31     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Complement C5 / analysis
Double-Blind Method
Embolism, Fat / diagnosis,  drug therapy*,  etiology
Fatty Acids, Nonesterified / blood
Female
Femoral Fractures / complications
Humans
Male
Methylprednisolone / therapeutic use*
Middle Aged
Oxygen / blood
Random Allocation
Syndrome
Tibial Fractures / complications
Chemical
Reg. No./Substance:
0/Complement C5; 0/Fatty Acids, Nonesterified; 7782-44-7/Oxygen; 83-43-2/Methylprednisolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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