Volume : VIII, Issue : IV, April - 2019

Observational descriptive study of fat embolism syndrome in long bone & pelvic fracture cases

Dr. Ramesh Chandra Banshiwal, Dr. Sawai Singh, Dr. Avatar Singh Balawat, Dr. S. K. Rawat, Dr. Manish Mehta

Abstract :

Background: Fat embolism syndrome (FES) is a constellation of symptoms and signs subsequent to long bones and pelvic fracture cases after trauma. Materials and Methods: The clinical profile of FES in the study population was studied Between january2017 and may 2018 , 1116 cases of long bone and pelvic fractures screened out of which 25patients (23male and 2 female) meet the criterion of Schonfeld and Gurd for diagnosis of fat embolism syndrome Results: The incidence of FES among all patients with long bone and pelvic fractures was 2.24%. The diagnosis of FES was made by clinical and laboratory findings using Gurd’s criteria and Schonfeld criteria. The mean injury severity score was 10.72 (SD 1.69) (range 10-19). Hypoxia was the commonest presentation (88%). Average time of onset after trauma was 49hr.In 76% patients consciousness was impaired (GCS score below 13).Mortality of 8% was observed.Management include primarily oxygen support, adequate hydration and delay of surgery until symptoms resolves over average 8.6days. Conclusion: Fat embolism remains a diagnosis of exclusion and is a clinical dilemma. Clinically apparent FES needs high index of suspicion,especially in long bone and pelvic fractures.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

OBSERVATIONAL DESCRIPTIVE STUDY OF FAT EMBOLISM SYNDROME IN LONG BONE & PELVIC FRACTURE CASES, Dr.Ramesh Chandra Banshiwal, Dr.Sawai Singh, Dr.Avatar Singh Balawat, Dr. S.K. Rawat, Dr.Manish Mehta GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-8 | Issue-4 | April-2019


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