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An Autopsy Case of Intraoperative Death Due to Pulmonary Fat Embolism—possibly Caused by Release of Tourniquet After Multiple Muscle-release and Tenotomy of the Bilateral Lower Limbs by Satoshi Watanabe; Koichi Terazawa; Kotaro Matoba; Naoya Yamada is a Biochemistry, Genetics and Molecular Biology article available to read on EtoBox.
What is An Autopsy Case of Intraoperative Death Due to Pulmonary Fat Embolism—possibly Caused by Release of Tourniquet After Multiple Muscle-release and Tenotomy of the Bilateral Lower Limbs about?
We report a case of a juvenile male with muscle rigidity caused by cerebral palsy who experienced intraoperative sudden death due to pulmonary fat embolism after multiple muscle-release and tenotomy of the bilateral lower limbs. Data were obtained through review of the surgical and anesthesia records, as well as from autopsy and histopathological examination. All surgical procedures were performed within the same operation, beginning with the right lower limb and then proceeding with the left lower limb, with application of a pneumatic tourniquet to avoid intraoperative hemorrhage. Slight changes in the hemodynamics were noticed after release of the right tourniquet. Further, sudden onset of hypotension, severe bradycardia, and a marked decrease in percutaneously monitored oxygen saturation occurred just after release of the left tourniquet when the left limb was raised for casting. The patient died despite immediate and vigorous cardiopulmonary resuscitation. At autopsy performed 20 h after death, examination of the lungs revealed a pale surface, slight edema, and obvious fat droplets in the vessels at the cut surfaces. Histopathological examination with fat staining was notable f
Who reads An Autopsy Case of Intraoperative Death Due to Pulmonary Fat Embolism—possibly Caused by Release of Tourniquet After Multiple Muscle-release and Tenotomy of the Bilateral Lower Limbs?
It is typically read by researchers, students, and practitioners in Biochemistry, Genetics and Molecular Biology.
- Author
- Satoshi Watanabe; Koichi Terazawa; Kotaro Matoba; Naoya Yamada
- Publisher
- Elsevier Science; Elsevier ; Elsevier BV (ISSN 0379-0738)
- Published
- 2007
- Language
- EN
- Field
- Biochemistry, Genetics and Molecular Biology (Life Sciences)