Educational Blog about Anesthesia, Intensive care and Pain management

Fat Embolism Syndrome (FES)

Fat Embolism Syndrome (FES) ➧ Fat embolism can be difficult to diagnose. It most often follows a closed fracture of a long bone but there are many other causes. Epidemiology: ➧ Incidence of this complication ranges from 0.5 to 11% in different studies. It varies considerably according to the cause. Patients with fractures involving the middle and proximal parts of the...

Porphyric Crisis

Porphyric Crisis (Acute Neurovisceral Crisis)  Background:  -The porphyrias are caused by enzyme deficiencies in the heme production pathway. Such deficiencies may be due to inborn errors of metabolism or exposure to environmental toxins or infectious agents. -The disease was named porphyria due to the red discoloration of urine in affected patients, (Figure...

Treacher Collins Syndrome

Treacher Collins Syndrome: -A craniofacial defect associated with developmental anomalies of the first arch.  -Abnormalities vary from minimal, to complete syndrome.  -The syndrome is named after Edward Treacher Collins, an English surgeon and ophthalmologist, who described its essential traits in 1900.  -Patients may require anesthesia for...

Bone Cement Implantation Syndrome (BCIS)

Bone Cement Implantation Syndrome (BCIS) Bone Cement constituents: -Bone cement is an acrylic polymer that is formed by mixing two sterile components:  a) Powder: 1-Polymer: Polymethyl methacrylate/co-polymer (PMMA)  2-Initiator: Benzoyl peroxide (BPO)  b) Liquid: 1-Monomer: Methyl methacrylate (MMA)  2-Accelerator: N, N-Dimethyl para-toluidine...