[Use of high frequency oscillatory ventilation in a patient with fulminant fat embolism syndrome].
We report a case of fulminant fat embolism syndrome treated with high frequency oscillatory ventilation (HFOV). A 77-year-old woman sustained a right tibia and fibula fracture and a left open tibia fracture after a traffic accident. She was conscious and her respiratory condition was normal on admission. However, she suddenly progressed to a coma and was intubated for approximately 2 hours after the accident; she developed critical respiratory failure. We used HFOV and were able to maintain her respiratory status. However, her right heart failure deteriorated and she died 95 hours after the accident. It was difficult for her to survive without percutaneous cardiopulmonary support.
Department of Emergency and Critical Care Medicine, Niigata City General Hospital, Niigata 950-1197.
Yukinori
Y
Inoue
Satoru
S
Yoshida
Ken
K
Kumagai
Yasuo
Y
Hirose
Seiichi
S
Ishikawa
Hideki
H
Hashidate
D000063:Accidents, Traffic; D000368:Aged; D004620:Embolism, Fat / Q000628:therapy*; D017809:Fatal Outcome; D005260:Female; D050723:Fractures, Bone / Q000150:complications; D006612:High-Frequency Ventilation; D006801:Humans; D012131:Respiratory Insufficiency / Q000209:etiology; D013577:Syndrome; D016896:Treatment Outcome