Use of Early Inhaled Nitric Oxide Therapy in Fat Embolism Syndrome to Prevent Right Heart Failure
Joint Authors
Brotfain, Evgeni
Klein, Moti
Kutz, Ruslan
Gruenbaum, Shaun E.
Frenkel, Amit
Koyfman, Leonid
Zlotnik, Alexander
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-11
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Fat embolism syndrome (FES) is a life-threatening condition in which multiorgan dysfunction manifests 48–72 hours after long bone or pelvis fractures.
Right ventricular (RV) failure, especially in the setting of pulmonary hypertension, is a frequent feature of FES.
We report our experience treating 2 young, previously healthy trauma patients who developed severe hypoxemia in the setting of FES.
Neither patient had evidence of RV dysfunction on echocardiogram.
The patients were treated with inhaled nitric oxide (NO), and their oxygenation significantly improved over the subsequent few days.
Neither patient developed any cardiovascular compromise.
Patients with FES that have severe hypoxemia and evidence of adult respiratory distress syndrome (ARDS) are likely at risk for developing RV failure.
We recommend that these patients with FES and severe refractory hypoxemia should be treated with inhaled NO therapy prior to the onset of RV dysfunction.
American Psychological Association (APA)
Brotfain, Evgeni& Koyfman, Leonid& Kutz, Ruslan& Frenkel, Amit& Gruenbaum, Shaun E.& Zlotnik, Alexander…[et al.]. 2014. Use of Early Inhaled Nitric Oxide Therapy in Fat Embolism Syndrome to Prevent Right Heart Failure. Case Reports in Critical Care،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-477065
Modern Language Association (MLA)
Brotfain, Evgeni…[et al.]. Use of Early Inhaled Nitric Oxide Therapy in Fat Embolism Syndrome to Prevent Right Heart Failure. Case Reports in Critical Care No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-477065
American Medical Association (AMA)
Brotfain, Evgeni& Koyfman, Leonid& Kutz, Ruslan& Frenkel, Amit& Gruenbaum, Shaun E.& Zlotnik, Alexander…[et al.]. Use of Early Inhaled Nitric Oxide Therapy in Fat Embolism Syndrome to Prevent Right Heart Failure. Case Reports in Critical Care. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-477065
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-477065