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Fat Embolism Syndrome

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Abstract

Fat embolism syndrome (FES) was first described in 1862, but its frequency today is still unclear. A diagnosis of FES is often missed because of a subclinical illness or coexisting confusing injuries or disease. Fat embolism syndrome develops most commonly after orthopedic injuries, but it has also been reported after other forms of trauma such as severe burns, liver injury, closed-chest cardiac massage, bone marrow transplantation, and liposuction. Although FES usually presents as a multisystem disorder, the most seriously affected organs are the lung, brain, cardiovascular system, and skin. Fat embolism syndrome is a self-limiting disease and treatment should be mainly supportive. Many drugs have been used to treat FES, but the results are inconclusive.

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References

  1. FA Zenker (1861) Beitrage zur anatomie und physiologic der lunge Braunsdorf Dresden

    Google Scholar 

  2. DM Parisi K Koval K Egol (2002) ArticleTitleFat embolism syndrome Am J Orthop 31 507–12 Occurrence Handle12650535

    PubMed  Google Scholar 

  3. TS Al-Khuwaitir AM Al-Moghairi SM Sherbeeni HM Subh (2002) ArticleTitleTraumatic fat embolism syndrome Saudi Med J 23 1532–6 Occurrence Handle12518208

    PubMed  Google Scholar 

  4. MS Platt LJ Kohler R Ruiz SD Cohle P Ravichandran (2002) ArticleTitleDeaths associated with liposuction: case reports and review of the literature J Forensic Sci 47 205–7 Occurrence Handle12064654

    PubMed  Google Scholar 

  5. K Jenkins F Chung R Wennberg EE Etchells R Davey (2002) ArticleTitleFat embolism syndrome and elective knee arthroplasty Can J Anaesth 49 19–24 Occurrence Handle11782324 Occurrence Handle10.1007/BF03020414

    Article  PubMed  Google Scholar 

  6. JA Choi YW Oh HK Kim KH Kang YH Choi EY Kang (2002) ArticleTitleNontraumatic pulmonary fat embolism syndrome: radiologic and pathologic correlations J Thorac Imaging 17 167–9 Occurrence Handle11956370 Occurrence Handle10.1097/00005382-200204000-00012

    Article  PubMed  Google Scholar 

  7. EM Bulger DG Smith RV Maier GJ Jurkovich (1997) ArticleTitleFat embolism syndrome. A 10-year review Arch Surg 132 435–9 Occurrence Handle9108767 Occurrence Handle1:STN:280:DyaK2s3mt1CrsQ%3D%3D

    PubMed  CAS  Google Scholar 

  8. JH Robert P Hoffmeyer P-E Broquet P Cerutti H Vasey (1993) ArticleTitleFat embolism syndrome Orthop Rev 22 567–71 Occurrence Handle8316420 Occurrence Handle1:STN:280:DyaK3szgt12ruw%3D%3D

    PubMed  CAS  Google Scholar 

  9. TC Fabian AV Hoots DS Stanford DS Patterson CR Patterson EC Mangiante (1990) ArticleTitleFat embolism syndrome: prospective evaluation in 92 fractures patients Crit Care Med 18 42–6 Occurrence Handle2293968 Occurrence Handle10.1097/00003246-199001000-00011 Occurrence Handle1:STN:280:DyaK3c%2FptFGgsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  10. J Kallenbach M Lewis M Zaltzman C Feldman A Orford S Zwi (1987) ArticleTitle“Low-dose” corticosteroid prophylaxis against fat embolism J Trauma 27 1173–6 Occurrence Handle3312625 Occurrence Handle1:STN:280:DyaL1c%2Fjs1Whug%3D%3D

    PubMed  CAS  Google Scholar 

  11. BGP Lindeque HS Schoeman GF Dommisse HS Dommisse MC Boeyens AL Vlok (1987) ArticleTitleFat embolism and the fat embolism syndrome. A double-blind therapeutic study J Bone Joint Surg Br 69 128–31 Occurrence Handle3818718 Occurrence Handle1:STN:280:DyaL2s7jslOksA%3D%3D

    PubMed  CAS  Google Scholar 

  12. SA Schonfeld Y Ploysongsang R DiLisio JD Crissman JD Miller DE Hammerschmidt et al. (1983) ArticleTitleFat embolism prophylaxis with corticosteroids. A prospective study in high-risk patients Ann Intern Med 99 438–43 Occurrence Handle6354030 Occurrence Handle1:STN:280:DyaL2c%2Fit1WhtA%3D%3D

    PubMed  CAS  Google Scholar 

  13. EB Bergman (1873) ArticleTitleEin fall todlicher fettembolie Klin Wochenschr 10 385–7

    Google Scholar 

  14. AR Gurd (1970) ArticleTitleFat embolism: an aid to diagnosis J Bone Joint Surg Br 52 732–7 Occurrence Handle5487573 Occurrence Handle1:STN:280:DyaE3M%2FlvVOlsg%3D%3D

    PubMed  CAS  Google Scholar 

  15. MJ Johnson GL Lucas (1996) ArticleTitleFat embolism syndrome Orthopedics 19 41–50 Occurrence Handle8771112 Occurrence Handle1:STN:280:DyaK28zms12qug%3D%3D

    PubMed  CAS  Google Scholar 

  16. A Mellor N Soni (2001) ArticleTitleFat embolism Anaesthesia 56 145–54 Occurrence Handle11167474 Occurrence Handle10.1046/j.1365-2044.2001.01724.x Occurrence Handle1:STN:280:DC%2BD3M7ot1aksA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  17. KM Chan KT Tham HS Chiu KM Chow PC Leung (1984) ArticleTitlePost traumatic fat embolism: Its clinical and subclinical presentations J Trauma 24 45 Occurrence Handle6694225 Occurrence Handle1:STN:280:DyaL2c7hsV2rtQ%3D%3D Occurrence Handle10.1097/00005373-198401000-00007

    Article  PubMed  CAS  Google Scholar 

  18. HR Gossling VD Pellegrin (1982) ArticleTitleFat embolism syndrome. A review of the pathophysiology and physiological basis of treatment Clin Orthop 165 68–82 Occurrence Handle7042168

    PubMed  Google Scholar 

  19. AR Gurd RI Wilson (1974) ArticleTitleThe fat embolism syndrome J Bone Joint Surg Br 56-B 408–16

    Google Scholar 

  20. CB Adams (1971) ArticleTitleThe retinal manifestations of fat embolism Injury 2 221 Occurrence Handle5118783 Occurrence Handle10.1016/S0020-1383(71)80055-4 Occurrence Handle1:STN:280:DyaE38%2FktVCktQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  21. LF Peltier (1984) ArticleTitleThe classic fat embolism. An appraisal of the problem Clin Orthop Rel Res 187 3–17 Occurrence Handle1:CAS:528:DyaL2cXlt1yisbY%3D

    CAS  Google Scholar 

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Taviloglu, K., Yanar, H. Fat Embolism Syndrome. Surg Today 37, 5–8 (2007). https://doi.org/10.1007/s00595-006-3307-5

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  • DOI: https://doi.org/10.1007/s00595-006-3307-5

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