Síndrome de Embolia Grasa Secundaria a Fractura de Fémur

Abstract

For those who manage major trauma victims, the topic of fat embolism weighs heavily on the mind. The incidence of this problem can approach 90% in patients who have sustained major injuries. If it progresses to the rare clinical entity known as fat embolism syndrome (FES), a systemic inflammatory cascade affecting multiple organ systems, morbidity and mortality are high. Accordingly, swift diagnosis and treatment of fat embolism are paramount for ensuring the survival of this patient population. (1) Here, we present a case of a 25-year-old previously healthy who was admitted to our hospital after suffering a traffic accident with front right latero impaction against a trailer to go as copilot. The patient's injuries include a fractured right femur subtrochanteric fracture and contusions. The patient went on to develop fat embolism syndrome twelve hours after the accident. Its symptoms include poor respiratory mechanics with desaturation, tachycardia, tachypnea, irritability disorientation. Based on the clinical presentation and imaging support, the patient was transferred to the intensive care unit for hospital management. During the development of this clinical case we specify in detail the clinical, diagnostic methods, treatment and evolution that had the patient during their hospital stay.