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Critical Care A Day
Saturday March 6, 2021
 
Q:
 Name few non-orthopedic trauma causes of Fat Embolism Syndrome (FES)? 

 
Answer
: Although FES is usually associated with either accidental or surgical trauma to bones, there are few significant non-orthopedic trauma causes of FES. These include 


  •  soft tissue injury 
  •  burns 
  • liposuction and lipo-injection 
  •  fat grafting 
  • cardiopulmonary resuscitation (mostly due to intraosseous access) 
  •  cesarean section 
  •  donor-related FES after lung transplantation
  • osteomyelitis

Besides the above, there are also many completely non-traumatic clinical causes of FES.

  • * pancreatitis
  • * diabetes mellitus 
  • * prolonged steroid therapy 
  • * sickle cell hemoglobinopathies 
  • * fatty liver disease Lipid infusion 
  • * cyclosporine solvent 
  • * intravenous lipid emulsion therapy
  • * intraoperative cell salvage 
  • * metastases from fatty tumors 

#trauma 
#surgical-critical-care


References:

1. Levine M, Skolnik AB, Ruha AM, et al. Complications following antidotal use of intravenous lipid emulsion therapy. J Med Toxicol 2014; 10:10.

2. Mendoza-Morales RC, Camberos-Nava EV, Luna-Rosas A, et al. A fatal case of systemic fat embolism resulting from gluteal injections of vitamin e for cosmetic enhancement. Forensic Sci Int 2016; 259:e1. 

3. Jacob S, Courtwright A, El-Chemaly S, et al. Donor-acquired fat embolism syndrome after lung transplantation. Eur J Cardiothorac Surg 2016; 49:1344. 

4. Schrufer-Poland T, Singh P, Jodicke C, et al. Nontraumatic Fat Embolism Found Following Maternal Death after Cesarean Delivery. AJP Rep 2015; 5:e1.
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  • Home
  • Cardiology
  • Hemodynamics
  • Pulmonary
  • Ventilators
  • Procedures
  • Transplantation
  • Hematology
  • Toxicology
  • Trauma
  • Surgical Critical Care
  • Rheumatology
  • Pharmacology
  • Oncology
  • OB/GYN
  • Nutrition
  • Neurology
  • Nephrology
  • Ethics
  • End Of Life Care
  • Electrolytes and Acid Base
  • Infectious Disease
  • Gastroentrology
  • Psychiatry
  • Miscellaneous
  • Buy at Amazon
  • Hepatology