Fat embolism syndrome primary prevention
|
Fat embolism syndrome Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Fat embolism syndrome primary prevention On the Web |
|
American Roentgen Ray Society Images of Fat embolism syndrome primary prevention |
|
Risk calculators and risk factors for Fat embolism syndrome primary prevention |
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.[2][3]
- 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.[4]
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.
- ↑ Wong MW, Tsui HF, Yung SH, Chan KM, Cheng JC (2004). "Continuous pulse oximeter monitoring for inapparent hypoxemia after long bone fractures". J Trauma. 56 (2): 356–62. doi:10.1097/01.TA.0000064450.02273.9B. PMID 14960980.
- ↑ Schmidt J, Sulk C, Weigand C, La Rosée K, Schneider T (2001). "[Preventing fat embolism syndrome (FES) in implantation of cemented hip endoprosthesis shafts with a trans-prosthetic drainage system (TDS)]". Biomed Tech (Berl). 46 (11): 320–4. PMID 11778316.
- ↑ Pitto RP, Kössler M, Draenert K (1998). "[Prevention of fat and bone marrow embolism in cemented total hip endoprosthesis with vacuum cement technique]". Z Orthop Ihre Grenzgeb. 136 (4): Oa24. PMID 9795426.