Evaluation of potential fat emboli during placement of intramedullary nails after orthopedic fractures

Chest
N AokiT Ohwada

Abstract

To evaluate material with high echogenicity demonstrated by transesophageal echocardiography (TEE) during the reamed intramedullary nailing procedure in long-bone fracture patients, and to analyze BAL fluid (BALF) in these patients as well as in those with the fat embolism syndrome (FES). Prospective cohort study. Emergency and critical care center of a university hospital. Fifteen patients with long-bone fractures in whom reamed intramedullary nailing was performed, and five patients diagnosed with FES. During reamed nailing procedures, TEE was performed. We measured the differential cell counts, percentage of lipid-laden cells, and albumin concentration in BALF after the operation. We compared TEE findings and BALF analysis in the surgical patients. In addition, we compared BALF findings in the surgical patients and in the FES patients. We divided 15 patients who underwent TEE into three subtypes based on the appearance of embolic material within the chambers of the right heart. The lipid-laden cells in BALF increased significantly in those patients with highly echogenic material by TEE (p < 0.05). The percentage of the lipid-laden cells in BALF was not significantly different between the TEE patients and those with FES. On t...Continue Reading

References

Oct 15, 1990·Annals of Internal Medicine·J ChastreC Gibert
Aug 1, 1971·The Journal of Trauma·D A Fonte, F X Hausberger
Feb 1, 1981·Chest·C A Guenter, T E Braun
Sep 23, 1993·The New England Journal of Medicine·A C PellG R Sutherland

❮ Previous
Next ❯

Citations

Sep 4, 2004·The Journal of Trauma·Sandra E RothCari M Whyne
Nov 25, 2000·AJR. American Journal of Roentgenology·A C HarrisP L Munk
May 11, 2013·Lung India : Official Organ of Indian Chest Society·Jacob GeorgeN Gupta
Apr 15, 2014·The American Journal of Emergency Medicine·Joseph S SontgerathJohn A Ward
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Koun YamauchiMasashi Fukuta
Aug 13, 2002·Journal of Orthopaedic Trauma·Michael BoucherMohit Bhandari
Apr 29, 2009·Journal of Orthopaedic Trauma·Matthew I Rudloff, Wade R Smith
Feb 1, 2011·Journal of Orthopaedic Trauma·Steve SaraGregory A Lundeen
Aug 6, 2011·The American Journal of Forensic Medicine and Pathology·Peter Miller, Joseph A Prahlow
Apr 10, 2003·Chest·Katerina MalagariDimitrios Kelekis
Oct 15, 2009·Anesthesiology Clinics·Shamsuddin Akhtar
Jul 6, 2015·The American Journal of Emergency Medicine·Mustafa TopuzMurat Cayli
Apr 26, 2005·American Journal of Hematology·Nghia C DangL Julian Haywood
Sep 23, 2006·Injury·Max Talbot, Emil H Schemitsch
Sep 23, 2006·Injury·Peter V GiannoudisHans-Christoph Pape
Mar 4, 2000·Emergency Medicine Clinics of North America·N Rudman, D McIlmail
Jan 6, 2010·The Journal of Bone and Joint Surgery. American Volume·Michael BlanksteinEmil H Schemitsch
Jun 29, 2018·JBJS Case Connector·Kevin J CroninEric S Moghadamian
Feb 12, 2005·The Journal of Trauma·Frank NastanskiMichael E Lekawa
May 9, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Paul N SmithRachel W Li
Oct 19, 2005·Anaesthesia·M Huber-LangF Gebhard
Dec 19, 2013·Iranian Red Crescent Medical Journal·Farshid BagheriHami Ashraf
May 31, 2017·International Orthopaedics·Robin Hall DunnCyril Mauffrey

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.