• Ups. J. Med. Sci. · Nov 2013

    Case Reports

    Brain death due to fat embolism - could moderate hypercapnia and prone position be blamed for the tonsillar herniation?

    • Rafael Kawati and Anders Larsson.
    • Central Intensive Care Unit, Department of Anesthesia and Intensive Care, Uppsala University Hospital , Uppsala , Sweden.
    • Ups. J. Med. Sci. 2013 Nov 1; 118 (4): 276-8.

    AbstractFat embolism to the systemic circulation in polytrauma patients is very common. The fat embolism syndrome (FES), however, is a rare condition. We describe a case of traumatic femur fracture with FES that was presented as acute tonsillar herniation (coning) and brain death postoperatively. We believe that in this case the prone position and moderate hypercapnia contributed to the acute coning.

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