Widodo Heri Puguh* and Wahib Achmad

Department of Anesthesiology, Soebandi General Hospital Jember University, Jember, Indonesia

*Corresponding Author: Widodo Heri Puguh, Department of Anesthesiology, Soebandi General Hospital Jember University, Jember, Indonesia.

Received: February 25, 2022; Published: February 08, 2023

Abstract

Introduction: Background: Fat embolism syndrome (FES) is defined as a symptom that arises due to the presence of fat clots in the pulmonary or peripheral circulation. Although it is very rare but FES has a mortality rate of 10%-20%.

Aim: We report FES in patient with multiple injury who experience close fracture femur dextra, open fracture cruris sinistra, and open degloving antebrachii dextra.

Case Report: Women aged 20 years came to IGD after being struck by a wall. The patient complained of pain in the femur dextra, cruris sinistra, and ramus antebrachii dextra. Deformities were found on the femur dextra and cruris sinistra. Then the patient got debridement for antebrachii dextra and ORIF for tibia sinistra and femur dextra. In the second day of hospitalization (two days after the trauma or one day after orthopedic action) the patient experienced restlessness followed by increasing heart rate. On the third day of hospitalization, patient got altered in consciousness followed by increasing in respiratory rate, heart rate, and temperature, and decreased SpO2 to 89%-91%.

Conclusion: Fat embolism syndrome is a critical condition that can improve on its own when it gets proper treatment.

Keywords: Fat Embolism Syndrome; Fracture Femur; Orthopedic Action

References

1. Rothberg, David L., et al. “Fat embolism and fat embolism syndrome”. Journal of the American Academy of Orthopaedic Surgeons 27.8 (2018): 1-10.
2. Gropper MA., et al. “Miller's Anesthesia Ninth Edition”. Philadelphia: Elsevier (2020).
3. Butterworth JF., et al. “Morgan and Mikhails's Clinical Anesthesiology 6^th Edition”. United States:McGraw-Hill Education (2018).
4. Rahman SA., et al. “Fat embolism syndrome”. Intensive Care (2017).
5. Uransilp N., et al. “Fat embolism syndrome: a case report and review literature”. Hindawi Case Reports in Medicine (2018): 1-7.
6. Shareef Khalid Al., et al. “Fat embolism syndrome due to fracture right femur: a case report”. The Egyptian Journal of Hospital Medicine 68 (2017): 923-928.
7. Scarpino M., et al. “From the diagnosis to the therapeutic management: cerebral fat embolism, a clinical challenge”. International Journal of General Medicine. Unit of Neurophysiopathology, Neuromuscolar Department, AOU Careggi, Florence, Italy; 2Neuroscience Department (NEUROFARBA), University of Florence, Florence, Italy; Intensive Rehabilitation Unit, IRCCS Fondazione Don Carlo Gnocchi, Florence: Italy (2019).
8. Stein Loretta., et al. “Fat Emboli Syndrome in a Child with Duchenne Muscular Dystrophy”. The Journal of Emergency Medicine. Department of Emergency Medicine, Naval Medical Center San Diego (2018).
9. Lauren E Fukumoto and Kathryn D “Fat Embolism Syndrome”. Nursing Clinics of North America 53.3 (2018): 335-347. Neurosciences and Trauma Intensive Care Unit, John Muir Medical Center, 1601 Ygnacio Valley Road, Walnut Creek, CA 94598: USA.
10. Henry S., et al. “Advanced Trauma Life Support”. 10^th USA: American College Surgeon (2018).
11. Shacklock E., et al. “Neurogical effect of fat embolism syndrome: a case report”. Journal of Intensive Care Society 18.4 (2017): 339-341.
12. Vincent JL., et al. “Textbook of Critical Care”. 7^th Canada: Elsevier (2017).
13. Singh S., et al. “Fat embolism: a comprehensive review and update”. Journal of Orthopaedic and Allied Sciences 6 (2018):

Citation

Citation: Widodo Heri Puguh and Wahib Achmad. “Fat Embolism Syndrome (FES) In Patient With Multiple Injury: Case Report”.Acta Scientific Orthopaedics 6.3 (2023): 53-57.

Copyright

Copyright: © 2023 Widodo Heri Puguh and Wahib Achmad. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.