Citation

Gupta B, D'souza N, Sawhney C, Farooque K, Kumar A, Agrawal P, Misra MC. J. Emerg. Trauma Shock 2011; 4(3): 337-341.

Affiliation

Department of Anesthesia, Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi, India.

Copyright

(Copyright © 2011, INDO-US Emergency and Trauma Collaborative, Publisher Medknow Publications)

DOI

10.4103/0974-2700.83859

PMID

21887021

PMCID

PMC3162700

Abstract

BACKGROUND: Fat embolism syndrome (FES) is a constellation of symptoms and signs subsequent to orthopedic trauma. MATERIALS AND METHODS: The clinical profile of FES in the trauma population was studied over 2 years and 8 months. RESULTS: The incidence of FES among all patients with long bone and pelvic fractures was 0.7% (12). The mean injury severity score was 10.37 (SD 1.69) (range 9-14). The diagnosis of FES was made by clinical and laboratory criteria. Hypoxia was the commonest presentation (92%). The average days of onset of symptoms were 3.5 (SD1.29) days. Management included ventilator support in 75%, average ventilator days being 7.8 (SD 4.08) days. The average ICU stay and hospital stay were 9.1 days and 29.7 days, respectively. A mortality of 8.3% (1) was observed. CONCLUSION: Fat embolism remains a diagnosis of exclusion and is a clinical dilemma. Clinically apparent FES is unusual and needs high index of suspicion, especially in long bone and pelvic fractures.

Language: en