Intensive therapy of multiple fatty embolism of the microvascular bed of vital organs

Abstract

The article presents a clinical case of successful treatment of a patient with polytrauma complicated by multiple fatty embolism. Complications were manifested in the form of a syndrome of multiple organ failure: cerebral, cardiovascular and respiratory failure. According to the protocols and recommendations for providing assistance to patients with polytrauma, the tactics of management and intensive therapy were determined, with the obligatory consideration of recommendations for the treatment of patients with fat embolism. The patient underwent neuroprotection, which included one of the modern drugs, such as celex, artificial lung ventilation, maintenance of hemodynamics by cardiovascular medications, correction of the water, electrolyte and acid-base balance with positive dynamics. Despite the difficulties of diagnosis and treatment, a high percentage of disability, complications and mortality, the difficulty of preventing complications, a favorable outcome for patients with associated trauma is possible. An interdisciplinary approach ensures the success of the treatment and rehabilitation of these patients.