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 2018

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Fingerprint Dive into the research topics of 'A case of sudden decreases in oxygen saturation and blood pressure during and after osteosynthesis'. Together they form a unique fingerprint.

  • Cite this