Hip Fx: Fat embolism mgmt

[PMPMD]

Hip Fx: Fat embolism mgmt
Fat embolus syndrome (FES)

• Associated w/ multiple traumatic injuries and surgery involving long-bone Fx.
• Incidence in isolated long-bone fractures is 3–4%, mortality is 10–20%.
• Signs = petechiae, hypoxemia, CNS depression, pulmonary edema.

Treatment

• Reversal of hypovolemia
• Early surgical stabilization
• Aggressive respiratory support
• Corticosteroid (controversial)

[Barash 6E p1388]

Treatment of FES remains mainly supportive.
[Browner: Skeletal Trauma, 4th ed. Chapter 20]

---

Members don't see this ad.