A case of sudden decreases in oxygen saturation and blood pressure during and after osteosynthesis

Aya Yoshidome, Kazuhiro Shirozu, Jun Maki, Yuji Karashima, Sumio Hoka

Research output: Contribution to journalArticle

Abstract

We experienced suspected pulmonary thromboembolism or fat embolism syndrome in a patient undergoing osteosynthesis. The patient was 40-year-old man with a left open femoral fracture caused by crash trauma Surgery was scheduled 2 days after admission to the hospital. Induction of anesthesia was smooth and the patient's posture was supine. An intramedullary nail was inserted 1 hour after the start of surgery, when oxygen saturation and blood pressure decreased. However, heart rate was stable, and right heart strain or skin findings were not observed. Hemodynamic parameters were gradually stabilized by blood transfusion. However, when body posture was returned to the prone position after surgery, oxygen saturation and blood pressure decreased again. On the following day, a pulmonary embolism was detected by computed tomography. The pathophysiology of bone fractures and related surgical procedures are usually associated with several complications. It is important to distinguish the condition of the patient and correcdy treat sudden decreases of oxygen saturation and blood pressure during surgery in these patients.

Original languageEnglish
Pages (from-to)758-761
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume67
Issue number7
Publication statusPublished - Jul 1 2018

Fingerprint

Oxygen
Blood Pressure
Pulmonary Embolism
Posture
Fat Embolism
Prone Position
Open Fractures
Femoral Fractures
Bone Fractures
Nails
Blood Transfusion
Anesthesia
Heart Rate
Hemodynamics
Tomography
Skin
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

A case of sudden decreases in oxygen saturation and blood pressure during and after osteosynthesis. / Yoshidome, Aya; Shirozu, Kazuhiro; Maki, Jun; Karashima, Yuji; Hoka, Sumio.

In: Japanese Journal of Anesthesiology, Vol. 67, No. 7, 01.07.2018, p. 758-761.

Research output: Contribution to journalArticle

@article{f2f688ec3ec84ab4b06c219a27d5c0c4,
title = "A case of sudden decreases in oxygen saturation and blood pressure during and after osteosynthesis",
abstract = "We experienced suspected pulmonary thromboembolism or fat embolism syndrome in a patient undergoing osteosynthesis. The patient was 40-year-old man with a left open femoral fracture caused by crash trauma Surgery was scheduled 2 days after admission to the hospital. Induction of anesthesia was smooth and the patient's posture was supine. An intramedullary nail was inserted 1 hour after the start of surgery, when oxygen saturation and blood pressure decreased. However, heart rate was stable, and right heart strain or skin findings were not observed. Hemodynamic parameters were gradually stabilized by blood transfusion. However, when body posture was returned to the prone position after surgery, oxygen saturation and blood pressure decreased again. On the following day, a pulmonary embolism was detected by computed tomography. The pathophysiology of bone fractures and related surgical procedures are usually associated with several complications. It is important to distinguish the condition of the patient and correcdy treat sudden decreases of oxygen saturation and blood pressure during surgery in these patients.",
author = "Aya Yoshidome and Kazuhiro Shirozu and Jun Maki and Yuji Karashima and Sumio Hoka",
year = "2018",
month = "7",
day = "1",
language = "English",
volume = "67",
pages = "758--761",
journal = "Japanese Journal of Anesthesiology",
issn = "0021-4892",
publisher = "Kokuseido Publishing Co. Ltd",
number = "7",

}

TY - JOUR

T1 - A case of sudden decreases in oxygen saturation and blood pressure during and after osteosynthesis

AU - Yoshidome, Aya

AU - Shirozu, Kazuhiro

AU - Maki, Jun

AU - Karashima, Yuji

AU - Hoka, Sumio

PY - 2018/7/1

Y1 - 2018/7/1

N2 - We experienced suspected pulmonary thromboembolism or fat embolism syndrome in a patient undergoing osteosynthesis. The patient was 40-year-old man with a left open femoral fracture caused by crash trauma Surgery was scheduled 2 days after admission to the hospital. Induction of anesthesia was smooth and the patient's posture was supine. An intramedullary nail was inserted 1 hour after the start of surgery, when oxygen saturation and blood pressure decreased. However, heart rate was stable, and right heart strain or skin findings were not observed. Hemodynamic parameters were gradually stabilized by blood transfusion. However, when body posture was returned to the prone position after surgery, oxygen saturation and blood pressure decreased again. On the following day, a pulmonary embolism was detected by computed tomography. The pathophysiology of bone fractures and related surgical procedures are usually associated with several complications. It is important to distinguish the condition of the patient and correcdy treat sudden decreases of oxygen saturation and blood pressure during surgery in these patients.

AB - We experienced suspected pulmonary thromboembolism or fat embolism syndrome in a patient undergoing osteosynthesis. The patient was 40-year-old man with a left open femoral fracture caused by crash trauma Surgery was scheduled 2 days after admission to the hospital. Induction of anesthesia was smooth and the patient's posture was supine. An intramedullary nail was inserted 1 hour after the start of surgery, when oxygen saturation and blood pressure decreased. However, heart rate was stable, and right heart strain or skin findings were not observed. Hemodynamic parameters were gradually stabilized by blood transfusion. However, when body posture was returned to the prone position after surgery, oxygen saturation and blood pressure decreased again. On the following day, a pulmonary embolism was detected by computed tomography. The pathophysiology of bone fractures and related surgical procedures are usually associated with several complications. It is important to distinguish the condition of the patient and correcdy treat sudden decreases of oxygen saturation and blood pressure during surgery in these patients.

UR - http://www.scopus.com/inward/record.url?scp=85054717957&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054717957&partnerID=8YFLogxK

M3 - Article

VL - 67

SP - 758

EP - 761

JO - Japanese Journal of Anesthesiology

JF - Japanese Journal of Anesthesiology

SN - 0021-4892

IS - 7

ER -