Fat embolism syndrome primary prevention: Difference between revisions
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=== Pre-operative preventive measures: === | === Pre-operative preventive measures: === | ||
*Preoperative intravenous injection of dexamethasone | *Preoperative intravenous injection of dexamethasone | ||
*Continuous pulse oximetry to detect hypoxemia at early stages. | *Continuous pulse oximetry to detect hypoxemia at early stages. | ||
*Early fixation of long-bone [[fracture]] | *Early fixation of long-bone [[fracture]] | ||
*External fixation or fixation with plate and screw decreases the possibility of fat embolism than than nailing the medullary cavity and venting the medullary canal during nailing. | *External fixation or fixation with plate and screw decreases the possibility of fat embolism than than nailing the medullary cavity and venting the medullary canal during nailing. | ||
*If nails are needed, smaller-diameter nails and unreamed nailing may be better. | *If nails are needed, smaller-diameter nails and unreamed nailing may be better. | ||
==References== | ==References== | ||
Revision as of 19:34, 1 March 2018
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Overview
Primary Prevention
Effective measurement for the primary prevention of fat embolism are as follows:[1]
Pre-operative preventive measures:
- Preoperative intravenous injection of dexamethasone
- Continuous pulse oximetry to detect hypoxemia at early stages.
- Early fixation of long-bone fracture
- External fixation or fixation with plate and screw decreases the possibility of fat embolism than than nailing the medullary cavity and venting the medullary canal during nailing.
- If nails are needed, smaller-diameter nails and unreamed nailing may be better.
References
- ↑ Jiang J, Wang H, Wang Y (2010). "[Clinical study on effect of dexamethasone in preventing fat embolism syndrome after cemented hip arthroplasty]". Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 24 (8): 913–6. PMID 20839434.