AI Summary & Key Takeaways
AI InsightWe aimed to present a case in whom isolated cerebral fat embolism and methemoglobinemia caused by intraoperative high dose of local anesthetic agents and who was taken to operation in the first 24 hours because of the left femoral diaphysis fracture in this study.
📌 3 Key Takeaways
Abstract
Fat embolism syndrome (FES) is characterized with petechiae, mental confusion, and respiratory failure, occurs generally after lower extremity long bone fractures or orthopedic surgery within 24-72 hours. Isolated cerebral fat embolism occurs at a rate of 0.9-2.2% that is a fatal event. The clinical diagnosis of isolated cerebral fat embolism is difficult since neurological symptoms are variable. On the other hand methemoglobinemia is a rare complication occurring after administration of local anesthetics. We aimed to present a case in whom isolated cerebral fat embolism and methemoglobinemia caused by intraoperative high dose of local anesthetic agents and who was taken to operation in the first 24 hours because of the left femoral diaphysis fracture in this study.
Özet
Yağ embolisi sendromu (YES), genellikle alt ekstremite uzun kemik fraktürü veya ortopedik cerrahi sonrası 24-72 saat içinde peteşi, mental konfüzyon ve solunum yetmezliği ile karakterizedir. İzole serebral yağ embolisi ise %0,9-2,2 oranında görülen ölümcül bir tablodur. Nörolojik semptomların değişken olmasından dolayı izole serebral yağ embolisinin klinik tanısı zordur. Methemoglobinemi ise lokal anesteziklerin uygulamalarından sonra görülen nadir bir komplikasyondur. Biz bu yazıda sol femur diafiz fraktürü nedeniyle ilk 24 saatte operasyona alınan, izole serebral yağ embolisi ve intraoperatif yüksek doz lokal anestezik maddeye bağlı methemoglobinemi gelişen olgumuzu sunmayı amaçladık.