RT Journal Article
SR Electronic
T1 Prone positioning in a patient with fat embolism syndrome presenting as diffuse alveolar haemorrhage: new perspective
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e233452
DO 10.1136/bcr-2019-233452
VO 13
IS 3
A1 Banerjee, Arnab
A1 Aggarwal, Richa
A1 Dev Soni, Kapil
A1 Tirkha, Anjan
YR 2020
UL http://casereports.bmj.com/content/13/3/e233452.abstract
AB Diffuse alveolar haemorrhage (DAH) is a rare complication of fat embolism syndrome leading to severe hypoxaemia due to the effusion of blood into the alveoli from the damaged pulmonary microvasculature. The management is usually supportive with patients being nursed in supine position. The use of prone position ventilation in a DAH has rarely been reported before. We report an interesting case of a 26-year-old male patient diagnosed with DAH caused by fat embolism in whom prone position ventilation improved the lung dynamics and oxygenation.