EFFECT OF FAT EMBOLIZATION DUE TO BONE CHANNEL REAMING ON THE HEART RATE, BLOOD PRESSURE AND ARTERIAL BLOOD GASES VARIATIONS
BACKGROUND AND OBJECTIVE: Although bone channel reaming before fixation of long bone fractures with intramedullary nailing is associated with obvious benefits, there has been concern about the pulmonary complications. The goal of this study was to assess the effect of bone marrow reaming on paraclin...
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| Autores principales: | , , , |
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| Formato: | article |
| Lenguaje: | EN FA |
| Publicado: |
Babol University of Medical Sciences
2008
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/fa597ec33c0d42239368c6b2f3d0ccf9 |
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| Sumario: | BACKGROUND AND OBJECTIVE: Although bone channel reaming before fixation of long bone fractures with intramedullary nailing is associated with obvious benefits, there has been concern about the pulmonary complications. The goal of this study was to assess the effect of bone marrow reaming on paraclinical symptoms of fat embolism like heart rate, blood pressure and arterial blood gases variations. METHODS: In this study, 16 male patients (20 to 35 years old) with lower limb long bone fractures, prepared for closed intramedullary nailing were enrolled in the study and the changes in arterial blood gases, pulse rates and the blood pressures of the patients were controlled. The patients were observed closely for development of fat embolism signs and symptoms until discharge (48 hours after operation). FINDINGS: Mean of systolic blood pressure before and after reaming was 123.2±7.7 and 122.9±8.5, respectively. Also mean of arterial oxygen pressure before and after reaming was 185.3±37.5 and 170.9±52, respectively. No statistically significant difference was found between the blood gases, pulse rates and blood pressure of the patients before and after reaming of the canal. CONCLUSION: Although occurrence of fat embolism during reaming of long bone canals is proved, it doesn seem to be accompanied with blood gas changes and this is in favor of safety of this method. |
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