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

研究成果: ジャーナルへの寄稿記事

抄録

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.

元の言語英語
ページ(範囲)758-761
ページ数4
ジャーナルJapanese Journal of Anesthesiology
67
発行部数7
出版物ステータス出版済み - 7 1 2018

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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

これを引用

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.

:: Japanese Journal of Anesthesiology, 巻 67, 番号 7, 01.07.2018, p. 758-761.

研究成果: ジャーナルへの寄稿記事

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