Perioperative Complications
A 24-year-old male sustains bilateral femoral shaft fractures in a motor vehicle collision. He is hemodynamically stable initially and undergoes initial resuscitation. At 36 hours post-injury, he develops acute onset confusion, hypoxemia (PaO2 55mmHg on room air), and tachypnea. Physical examination reveals a petechial rash on his anterior chest, axillae, and conjunctivae. Chest radiograph shows bilateral diffuse infiltrates. Echocardiography is normal with no evidence of right heart strain. Regarding fat embolism syndrome:
Mark each as TRUE or FALSE
The classic triad of fat embolism syndrome consists of hypoxemia, neurological dysfunction, and pete...
Petechial rash is pathognomonic for fat embolism syndrome but occurs in only 20-50% of cases and may...
Fat embolism syndrome is primarily a clinical diagnosis of exclusion after ruling out other causes o...
Early surgical stabilization of long bone fractures within 24 hours significantly reduces the incide...
High-dose corticosteroids are proven to reduce both the incidence and mortality of fat embolism synd...
Answer the questions to see explanations
Click T (True) or F (False) for each option