Supportive care of right ventricular failure due to fat embolism syndrome

被引：4

作者：

Schwalbach, Kevin T. ^{[1
]}

Wade, R. Chad ^{[2
,3
]}

Mkorombindo, Takudzwa ^{[2
,3
]}

McElwee, Sam K. ^{[4
]}

Wells, J. Michael ^{[2
,3
,5
]}

Wille, Keith M. ^{[2
]}

机构：

[1] Univ Alabama Birmingham, Dept Med, Birmingham, AL 35294 USA

[2] Univ Alabama Birmingham, Div Pulm Allergy & Crit Care Med, Birmingham, AL USA

[3] UAB Lung Hlth Ctr, Birmingham, AL USA

[4] Univ Alabama Birmingham, Div Cardiovasc Dis, Birmingham, AL 35294 USA

[5] Birmingham VA Med Ctr, Birmingham, AL USA

来源：

RESPIRATORY MEDICINE CASE REPORTS | 2021年 / 34卷

关键词：

Fat embolism; Right ventricle; Pulmonary hypertension; Hypoxemia; PULMONARY-EMBOLISM; MANAGEMENT;

D O I：

10.1016/j.rmcr.2021.101499

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Pulmonary fat embolism is a common phenomenon in cases of traumatic long bone fractures, with only a minority developing the more catastrophic Fat Embolism Syndrome (FES). Diagnosis is clinical and requires a high index of suspicion. Treatment remains under-investigated, with common interventions having low quality levelof-evidence and no mortality benefit. In severe cases, focus should be on supporting the failing right ventricle through use of inotropes, pulmonary vasodilators, and mechanical circulatory support. This requires a thorough understanding of the unique physiology through the pulmonary circulation.

引用

页数：5

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