Document Detail

Time course of spontaneous recovery of subacute fat embolism syndrome--a case report.
MedLine Citation:
PMID:  16623409     Owner:  NLM     Status:  MEDLINE    
Pulmonary embolism is not uncommonly encountered in orthopedic patients with high risks, such as prolonged immobility, obesity, past or family history of thromboembolism, pelvic and long bone fractures. Here we report a young male patient with a residual cerebral arteriovenous malformation post-craniotomy suffered from acute severe hypoxemia after sustaining a simple fracture of the left femur shaft from a motorcycle accident. The emergent surgery was deferred in view of suspectable pulmonary embolism. Under supportive treatment, the condition spontaneously resolved, and the surgery was later performed uneventfully. To the best of our knowledge, this was the first instance that a pulmonary embolism (suspected subacute fat embolism syndrome) which ran in a natural course to spontaneous resolution was observed. We would like to report our clinical observation, and discuss the principle of anesthetic management in the text.
Shih-Kuei Peng; Sin-Ei Juang; Ya-Ling Yang; Tsong-Jeh Tsai; Yi-Ru Shih; Hsiang-Ning Luk
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists     Volume:  44     ISSN:  1875-4597     ISO Abbreviation:  -     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-04-20     Completed Date:  2006-05-25     Revised Date:  2008-04-07    
Medline Journal Info:
Nlm Unique ID:  101214918     Medline TA:  Acta Anaesthesiol Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  47-50     Citation Subset:  IM    
Department of Anesthesiology, Taichung Veterans General Hospital and Providence University, Taichung, Taiwan, ROC.
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MeSH Terms
Embolism, Fat / diagnosis,  etiology,  physiopathology*
Pulmonary Embolism / diagnosis,  etiology,  physiopathology*

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