TY - JOUR ID - 45353 TI - Prone Positioning for Management of Fat Embolism Syndrome in a Patient with Spine Fracture; An Unusual Scenario and Review of Literature JO - Bulletin of Emergency And Trauma JA - BEAT LA - en SN - 2322-2522 AU - Tyagi, Abhay AU - Aggarwal, Richa AU - Soni, Kapil Dev. AU - Trikha, Anjan AD - Y1 - 2019 PY - 2019 VL - 7 IS - Issue 2 SP - 192 EP - 195 KW - Fat embolism KW - prone position KW - Trauma KW - ARDS DO - 10.29252/beat-070217 N2 - Fat embolism syndrome is a rare but fatal complication seen commonly in patients with polytrauma. Its earliest manifestation is hypoxemia due to deposition of fat globules in pulmonary circulation which can progress to severe acute respiratory distress syndrome, the treatment of which is mainly supportive. We describe the case of a 17-year-old male who was admitted in our intensive care unit (ICU) for severe hypoxemia due to fat embolism. He had burst fracture of 5th lumbar vertebra with canal compromise along with other fractures. Failing conventional ventilation, the patient was placed in prone position taking proper precautions in positioning giving due consideration to his unstable lumbar spine. There was no neurological insult and in the next two days, he was weaned off from the ventilator. Though prone position is relatively contraindicated in patients with unstable spine, we employed early prone positioning taking adequate precautions, the benefit of which we believe outweighed the risk. UR - https://beat.sums.ac.ir/article_45353.html L1 - https://beat.sums.ac.ir/article_45353_50a7433e8bdc916093f5e6d2118c20a4.pdf ER -