title: [Detection of bone marrow embolism in femoral intramedullary nailing using transesophageal echocardiography].
abstract: Cardiopulmonary complications are known in intramedullary nailing, especially of the femur. Transesophageal echocardiography now allow intraoperative detection of embolized bone-marrow, recognizable as reflecting particles in the right atrium. In intramedullary nailing of a femoral fracture with a closed distal fragment bone-marrow embolism was detectable in the right atrium during reaming of the medullary canal. This technique should permit further research on the pathophysiology of pulmonary alterations during intramedullary nailing and also testing the effectiveness of pressure-relief in the medullary canal as proposed by drilling a bone-hole.
authors.affiliation: Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikums Mainz.
authors.forename: K
authors.initials: K
authors.lastname: Wenda
authors.forename: K J
authors.initials: KJ
authors.lastname: Henrichs
authors.forename: M
authors.initials: M
authors.lastname: Biegler
authors.forename: R
authors.initials: R
authors.lastname: Erbel
mesh_terms: D000328:Adult; D001853:Bone Marrow; D004452:Echocardiography / Q000295:instrumentation; D004617:Embolism / Q000175:diagnosis*; D004947:Esophagus; D005260:Female; D005594:Fracture Fixation, Intramedullary; D006325:Heart Atria / Q000473:pathology*; D006331:Heart Diseases / Q000175:diagnosis*; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis*; D011655:Pulmonary Embolism / Q000175:diagnosis
vernacular_title: Nachweis von Markembolien während Oberschenkelmarknagelungen mittels transösophagealer Echokardiographie.