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Fat emboli-Related diffuse alveolar haemorrhage (FEDAH) an acronym to remember-Case series.
- Source :
-
Respirology case reports [Respirol Case Rep] 2023 Sep 08; Vol. 11 (10), pp. e01214. Date of Electronic Publication: 2023 Sep 08 (Print Publication: 2023). - Publication Year :
- 2023
-
Abstract
- Fat embolism syndrome (FES) is a rare but potentially fatal complication of trauma or orthopaedic surgery, which presents predominantly with pulmonary symptoms. The rapid worsening respiratory failure in a previously normal orthopaedic surgery or trauma patients usually get evaluated for pulmonary embolism, fat-embolism-related acute respiratory distress or transfusion related acute lung injury. Orthopaedic surgeons and clinicians need to be aware of related entity termed ' F at E mbolism related D iffuse A lveolar H aemorrhage' (FEDAH). The clinical presentation in an orthopaedic surgery of trauma patient with FEDAH are haemoptysis, worsening type 1 respiratory failure and oxygen requirement, drop in haemoglobin levels with chest x-ray/computed tomography suggestive of Diffuse alveolar haemorrhage (DAH). Early bronchoscopy and bronchoalveolar lavage (BAL) confirmation of DAH, presence of BAL haemosiderophages and lipid-laden macrophages are the pointers in the early diagnosis of FEDAH. It needs a high clinical suspicion and interdepartmental collaborative measures. Timely referral from orthopaedic surgeons, early bronchoscopy and treatment with steroids is key in diagnosis and management.<br />Competing Interests: None declared.<br /> (© 2023 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology.)
Details
- Language :
- English
- ISSN :
- 2051-3380
- Volume :
- 11
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Respirology case reports
- Publication Type :
- Report
- Accession number :
- 37692762
- Full Text :
- https://doi.org/10.1002/rcr2.1214