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Author Topic: Fat embolism and pulmonary embolism  (Read 1706 times)

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limewalk

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Fat embolism and pulmonary embolism
« on: September 28, 2019, 11:09:16 AM »

How many days after internal nail surgery can these happen? Apart from death (worst case) what are other complications from this? People who have consulted with doctors and discussed this, please answer.

Thank you
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Michael01

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limewalk

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Re: Fat embolism and pulmonary embolism
« Reply #2 on: September 28, 2019, 11:39:56 AM »

This article does not answer the question of how many days after surgery one is susceptible to get fat embolism and pulmonary embolism. Also it does not list any other long term complication of this other than death.

I hate how they don't list the things that could go wrong if you don't manage to die. After all, you have to live with the complications only if you manage to not die  ::)
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Michael01

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Re: Fat embolism and pulmonary embolism
« Reply #3 on: September 28, 2019, 11:43:23 AM »

Signs of FES generally appear 12 to 72 hours.
(...)
Once you’ve recovered from fat emboli or fat embolism syndrome, there usually are no long-term complications.
(...)
According to research, FES can be seen in 3 to 4 percent of those with one long-bone fracture and up to 15 percent of those with multiple long-bone traumas.
(...)
FES is a serious condition. Roughly 10 to 20 percent of people with the syndrome will not recover. However, when treatment is prompt and careful, most people with FES will fully recover with no lasting side effects.




I dont know if it can cause a embolic stroke, with serious consequences: https://www.healthline.com/health/stroke/embolic-stroke-symptoms#symptoms
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limewalk

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Re: Fat embolism and pulmonary embolism
« Reply #4 on: September 28, 2019, 12:42:04 PM »

Quote
Roughly 10 to 20 percent of people with the syndrome will not recover.

So these 10 to 20 percent die. Is that right?

Quote
Signs of FES generally appear 12 to 72 hours.

Not sure how that Indian Guichet patient died in his hotel room? Did Guichet not even let him stay in the hospital for 3 days after surgery?
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TemakiSushi

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Re: Fat embolism and pulmonary embolism
« Reply #5 on: September 28, 2019, 01:06:25 PM »

PE could be caused by blood clots which may bother lungs days after surgery
Blood thinner should be prescribed but I don’t think Guichet prescribe it
If my memory is correct Paley prescribe blood thinner for a several weeks at least
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Michael01

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Re: Fat embolism and pulmonary embolism
« Reply #6 on: September 28, 2019, 01:22:53 PM »

So these 10 to 20 percent die. Is that right?
I think they die if it's not treated in time.

Not sure how that Indian Guichet patient died in his hotel room? Did Guichet not even let him stay in the hospital for 3 days after surgery?
Generally. It can happen weeks after the trauma. But I don't know how long. I think if it does not manifest in one month, you are clean.
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limewalk

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Re: Fat embolism and pulmonary embolism
« Reply #7 on: September 29, 2019, 06:35:20 AM »

PE could be caused by blood clots which may bother lungs days after surgery
Blood thinner should be prescribed but I don’t think Guichet prescribe it
If my memory is correct Paley prescribe blood thinner for a several weeks at least

The website said Guichet prescribed it. Paley now prescribes for only 2 weeks or less if you use Stryde. If Precice he prescribe it for even after lengthening period.

Can fat embolism lead to amputation or loss of limb? Death might be better than  this.
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PANDA:BEAR..

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Re: Fat embolism and pulmonary embolism
« Reply #8 on: September 29, 2019, 05:33:14 PM »

I think most major surgeries  can carry this risk ... taking blood thinners... is a good idea...
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TemakiSushi

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Re: Fat embolism and pulmonary embolism
« Reply #9 on: December 02, 2019, 01:35:03 AM »

Unicorn confirmed Guichet didn’t prescribe blood thinner
Her classmate had also PE
http://www.limblengtheningforum.com/index.php?topic=3560.msg169167#msg169167

Blood clots can happen in any part of body
The part which is clotted, cells will die quickly loosing blood circulation
if big amount of cells are dead then amputation might be needed
But amputation is more common due to compartment syndrome

It’s reported that some Betz patients had compartment syndrome

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Plan to have Stryde TIBIAS surgery with Donghoon
Welcome any NEGATIVE information of Donghoon
Any doctor with more than 5% complication rate is NOT acceptable
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