Prone positioning in a patient with fat embolism syndrome presenting as diffuse alveolar haemorrhage: new perspective
Diffuse alveolar haemorrhage (DAH) is a rare complication of fat embolism syndrome leading to severe hypoxaemia due to the effusion of blood into the alveoli from the damaged pulmonary microvasculature. The management is usually supportive with patients being nursed in supine position. The use of pr...
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| Veröffentlicht in: | BMJ case reports 2020-03, Vol.13 (3), p.e233452 |
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| creator | Banerjee, Arnab Aggarwal, Richa Dev Soni, Kapil Tirkha, Anjan |
| description | Diffuse alveolar haemorrhage (DAH) is a rare complication of fat embolism syndrome leading to severe hypoxaemia due to the effusion of blood into the alveoli from the damaged pulmonary microvasculature. The management is usually supportive with patients being nursed in supine position. The use of prone position ventilation in a DAH has rarely been reported before. We report an interesting case of a 26-year-old male patient diagnosed with DAH caused by fat embolism in whom prone position ventilation improved the lung dynamics and oxygenation. |
| doi_str_mv | 10.1136/bcr-2019-233452 |
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The management is usually supportive with patients being nursed in supine position. The use of prone position ventilation in a DAH has rarely been reported before. We report an interesting case of a 26-year-old male patient diagnosed with DAH caused by fat embolism in whom prone position ventilation improved the lung dynamics and oxygenation.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2019-233452</identifier><identifier>PMID: 32161081</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Adult ; adult intensive care ; Blood clots ; Case reports ; Diagnosis, Differential ; Embolism, Fat - diagnosis ; Embolism, Fat - etiology ; Embolism, Fat - therapy ; Embolisms ; emergency medicine ; Erythrocyte Transfusion ; Femoral Fractures - complications ; Fractures ; Hemoglobin ; Hemorrhage - etiology ; Humans ; Hypoxia ; Injuries ; Intubation, Intratracheal ; Male ; mechanical ventilation ; Novel treatment (new drug/intervention; established drug/procedure in new situation) ; Ostomy ; Patients ; Prone Position ; Radiography ; Respiration, Artificial - methods ; Respiratory Distress Syndrome - diagnosis ; respiratory system ; trauma ; Ventilators</subject><ispartof>BMJ case reports, 2020-03, Vol.13 (3), p.e233452</ispartof><rights>BMJ Publishing Group Limited 2020. 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Published by BMJ. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b492t-939f4275aeffb3cbb7a368d4eb413954f1ebfa32e2f21c62b2ebd0b7aaab5e9a3</citedby><cites>FETCH-LOGICAL-b492t-939f4275aeffb3cbb7a368d4eb413954f1ebfa32e2f21c62b2ebd0b7aaab5e9a3</cites><orcidid>0000-0002-4780-0641</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066632/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7066632/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32161081$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Banerjee, Arnab</creatorcontrib><creatorcontrib>Aggarwal, Richa</creatorcontrib><creatorcontrib>Dev Soni, Kapil</creatorcontrib><creatorcontrib>Tirkha, Anjan</creatorcontrib><title>Prone positioning in a patient with fat embolism syndrome presenting as diffuse alveolar haemorrhage: new perspective</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><addtitle>BMJ Case Rep</addtitle><description>Diffuse alveolar haemorrhage (DAH) is a rare complication of fat embolism syndrome leading to severe hypoxaemia due to the effusion of blood into the alveoli from the damaged pulmonary microvasculature. The management is usually supportive with patients being nursed in supine position. The use of prone position ventilation in a DAH has rarely been reported before. 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| subjects | Adult adult intensive care Blood clots Case reports Diagnosis, Differential Embolism, Fat - diagnosis Embolism, Fat - etiology Embolism, Fat - therapy Embolisms emergency medicine Erythrocyte Transfusion Femoral Fractures - complications Fractures Hemoglobin Hemorrhage - etiology Humans Hypoxia Injuries Intubation, Intratracheal Male mechanical ventilation Novel treatment (new drug/intervention established drug/procedure in new situation) Ostomy Patients Prone Position Radiography Respiration, Artificial - methods Respiratory Distress Syndrome - diagnosis respiratory system trauma Ventilators |
| title | Prone positioning in a patient with fat embolism syndrome presenting as diffuse alveolar haemorrhage: new perspective |
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