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:	M Razaghi, AR Saeed, M Latifpour, M Mahdavi
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2008
Materias:	long bone fractures reaming arterial gas pressure fat embolization heart Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/fa597ec33c0d42239368c6b2f3d0ccf9
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spelling	oai:doaj.org-article:fa597ec33c0d42239368c6b2f3d0ccf92021-11-10T09:07:36ZEFFECT OF FAT EMBOLIZATION DUE TO BONE CHANNEL REAMING ON THE HEART RATE, BLOOD PRESSURE AND ARTERIAL BLOOD GASES VARIATIONS1561-41072251-7170https://doaj.org/article/fa597ec33c0d42239368c6b2f3d0ccf92008-08-01T00:00:00Zhttp://jbums.org/article-1-2473-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND 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.M RazaghiAR SaeedM Latifpour,M MahdaviBabol University of Medical Sciencesarticlelong bone fracturesreamingarterial gas pressurefat embolizationheartMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 10, Iss 3, Pp 62-66 (2008)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	long bone fractures reaming arterial gas pressure fat embolization heart Medicine R Medicine (General) R5-920
spellingShingle	long bone fractures reaming arterial gas pressure fat embolization heart Medicine R Medicine (General) R5-920 M Razaghi AR Saeed M Latifpour, M Mahdavi EFFECT OF FAT EMBOLIZATION DUE TO BONE CHANNEL REAMING ON THE HEART RATE, BLOOD PRESSURE AND ARTERIAL BLOOD GASES VARIATIONS
description	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.
format	article
author	M Razaghi AR Saeed M Latifpour, M Mahdavi
author_facet	M Razaghi AR Saeed M Latifpour, M Mahdavi
author_sort	M Razaghi
title	EFFECT OF FAT EMBOLIZATION DUE TO BONE CHANNEL REAMING ON THE HEART RATE, BLOOD PRESSURE AND ARTERIAL BLOOD GASES VARIATIONS
title_short	EFFECT OF FAT EMBOLIZATION DUE TO BONE CHANNEL REAMING ON THE HEART RATE, BLOOD PRESSURE AND ARTERIAL BLOOD GASES VARIATIONS
title_full	EFFECT OF FAT EMBOLIZATION DUE TO BONE CHANNEL REAMING ON THE HEART RATE, BLOOD PRESSURE AND ARTERIAL BLOOD GASES VARIATIONS
title_fullStr	EFFECT OF FAT EMBOLIZATION DUE TO BONE CHANNEL REAMING ON THE HEART RATE, BLOOD PRESSURE AND ARTERIAL BLOOD GASES VARIATIONS
title_full_unstemmed	EFFECT OF FAT EMBOLIZATION DUE TO BONE CHANNEL REAMING ON THE HEART RATE, BLOOD PRESSURE AND ARTERIAL BLOOD GASES VARIATIONS
title_sort	effect of fat embolization due to bone channel reaming on the heart rate, blood pressure and arterial blood gases variations
publisher	Babol University of Medical Sciences
publishDate	2008
url	https://doaj.org/article/fa597ec33c0d42239368c6b2f3d0ccf9
work_keys_str_mv	AT mrazaghi effectoffatembolizationduetobonechannelreamingontheheartratebloodpressureandarterialbloodgasesvariations AT arsaeed effectoffatembolizationduetobonechannelreamingontheheartratebloodpressureandarterialbloodgasesvariations AT mlatifpour effectoffatembolizationduetobonechannelreamingontheheartratebloodpressureandarterialbloodgasesvariations AT mmahdavi effectoffatembolizationduetobonechannelreamingontheheartratebloodpressureandarterialbloodgasesvariations
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EFFECT OF FAT EMBOLIZATION DUE TO BONE CHANNEL REAMING ON THE HEART RATE, BLOOD PRESSURE AND ARTERIAL BLOOD GASES VARIATIONS

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