Fat embolism syndrome: choice and effectiveness of laboratory diagnostic methods

https://doi.org/10.35571/RMSJ.2019.2.006

Share: VK Telegram By e-mail

Full text

Abstract

The review on the use of traditional and new methods of laboratory diagnostics of fat embolism syndrome - a complication that in some cases asymptomatically accompanies severe concomitant trauma is presented. The main currently used laboratory diagnostic methods are described: traditional methods and new markers (interleukin-6, neuroglial protein S100B, surfactant protein SP-D). A review of the literature data in terms of assessing the pathogenetic and diagnostic significance of some methods of laboratory diagnosis of fat embolism syndrome, the relationship between the dynamics of the considered laboratory parameters, the clinical picture and inflammation. Own observation is presented. The results show the importance of integrating the whole range of available methods in the diagnosis of fat embolism syndrome.

Для цитирования:

Карпов В.О., Клеина И.В., Казаков С.П., Корабельников Д.И., Гизатуллин Ш.Х. Синдром жировой эмболии: выбор и эффективность методик лабораторной диагностики. Российский медико-социальный журнал. 2019;1(2):71-82. https://doi.org/10.35571/RMSJ.2019.2.006

For citation:

Karpov V., Kleina I., Kazakov S.P., Korabelnikov D., Gizatullin S. Fat embolism syndrome: choice and effectiveness of laboratory diagnostic methods. Russian Medical and Social Journal. 2019;1(2):71-82. (In Russian) https://doi.org/10.35571/RMSJ.2019.2.006

References

  1. Yakovlev VN, Marchenkov YV, Panova NS, Alekseyev VG, Moroz VV. Fat Embolism. General Reanimatology. 2013;9(4):50. (In Russ.). doi: https://doi.org/10.15360/1813-9779-2013-4-50.
  2. Berdai AM. Le syndrome d'embolie graisseuse post traumatique. [Post-traumatic fat embolism syndrome]. The Pan African Medical Journal. 2014;17:83. doi https://doi.org/10.11604/pamj.2014.17.83.2062.
  3. Sirazitdinov SD, Pankov IO. Improvement of methods of diagnosis and prevention of early complications of traumatic disease with multiple fractures of extremities. Kafedra travmatologii i ortopedii. 2016;1:36-39. (In Russ.).
  4. Tkachuk EA, Samusenko DV, Stogov MV. Vyrazhennost' biohimicheskih izmenenij v zavisimosti ot tyazhesti travmy u pacientov s mnozhestvennymi zakrytymi perelomami kostej konechnostej [Abstract]. Sb. mater. Vseros. nauch.-prakt.konf. «Novoe v travmatologii i ortopedii». Samara; 2012. p. 328-329. (In Russ.).
  5. Pankov IO, Gabdullin MM, Emelin AL. Issledovanie interlejkina-6 u pacientov s tyazheloj travmoj nizhnih konechnostej, oslozhnennyh sindromom zhirovoj embolii. Sovremennye problemy nauki i obrazovaniya. [cited 2019 May 12]; 2016;2:[about 3 p.]. Available from: http://science-education.ru/ru/article/view?id=24272. (In Russ.).
  6. White T, Petrisor BA, Bhandar M. Prevention of Fat Embolism Syndrome. Injury. 2006;37[Suppl.]:59-67.
  7. Tihilov RM, Shapovalov VM. Emboliya kak oslozhnenie pri endoprotezirovanii. Kompaniya MosRentgen Centr. [cited 2019 May 29]; 2015[May 9]:[about 3 p.]. Available from: https://trauma.ru/content/articles/detail.php?ELEMENT_ID=8803&sphrase_id=787375. (In Russ.).
  8. García-Laorden MI. Biomarkers for the acute respiratory distress syndrome: how to make the diagnosis more precise. Annals of translational medicine. 2017;5(14):283. doi: https://doi.org/10.21037/atm.2017.06.49
  9. Gabdullin MM. Sindrom zhirovoj embolii − prognosticheskie faktory u pacientov s politravmoj. Sovremennye problemy nauki i obrazovaniya. [cited 2019 May 29]; 2019;2:[about 3 p.]. Available from: http://science-education.ru/ru/article/view?id=28786. (In Russ.).
  10. Shtejnle AV. Sindrom zhirovoj embolii (analiticheskij obzor). Sibirskij medicinskij zhurnal. 2009;2:117-126.
  11. Kuzkov VV, Fot EV, Smetkin AA, Komarov SA, Kirov MY. The Relationship between the Plasma Triglyceride Concentration and the Severity of Acute Respiratory Distress Syndrome. General Reanimatology. 2012;8(1):22. (In Russ.). doi: https://doi.org/10.15360/1813-9779-2012-1-22.
  12. Yakovlev AYu, Pevnev AA, Abanin AM, Seropyan MYu. Rol' neeterificirovannyh zhirnyh kislot v diagnostike sindroma zhirovoj embolii. Russian Clinical Laboratory Diagnostics Journal [Klinicheskaya laboratornaya diagnostika]. 2017;62(5):271-274. (In Russ.).
  13. Karpov VO, Kleina IV, Putkov SB, Kazakov SP, Moruga RA. Prakticheskij vybor laboratornyh metodik dlya diagnostiki sindroma zhirovoj embolii [Abstract]. Sbornik tezisov: Aktual'nye voprosy diagnostiki tyazhesti sochetannoj travmy: Materialy Obshcheros. mezhved. nauch.-prakt. konf. s mezhdunarodnym uchastiem. Moscow: [red. zhurnala] Na boevom postu; 2017. p. 91-93. (In Russ.).
  14. Gizatullin ShH, Kazakov SP, Kurnosenko VYu. Sindrom kostno-mineral'nyh narushenij - nachal'nye proyavleniya osteoporoza u bol'nyh nejrohirurgicheskogo profilya (patogenez i immunopatogenez, klinicheskaya laboratornaya diagnostika, algoritm lecheniya, hirurgicheskaya taktika): uchebnoe posobie. M: Izdatel'stvo Eko-Press; 2019. (In Russ.).
  15. Gricyuk AA, Lychagin AV, Kryukov EV, Brizhan' LK, Davydov DV. Osobennosti protezirovaniya loktevogo sustava pri raneniyah i travmah: otdalennye rezul'taty. Voenno-medicinskij zhurnal. 2017;338(12):37-44. (In Russ.).
  16. Kwiatt ME, Seamon MJ. Fat Embolism Syndrome. Int. J. Crit. Illn. Inj. Sci. 2013;3(1):64-68. doi: https://doi.org/10.4103/2229-5151.109426
  17. Belous MS, Pevnev AA, Ryabikov DV, Yakovlev AYu. To the question of laboratory diagnostics of fat droplets. Russian Clinical Laboratory Diagnostics Journal [Klinicheskaya laboratornaya diagnostika]. 2018;63(10):615-618. (In Russ.). doi: https://doi.org/10.18821/0869-2084-2018-63-10-615-618
  18. Gabdullin MM, Mitrakova NN, Koptina AV. The S100B Protein as Biomarker for Early Diagnosis of Fat Embolism Syndrome. Vestnik novyh medicinskih tekhnologij. 2013;20(3):33-36. (In Russ.).
  19. Kustov VM, Perfiletova PE, Nechueva IB. Rol' laboratornyh metodov v diagnostike zhirovoj embolii posle operacij na krupnyh sustavah nizhnih konechnostej. Genij ortopedii. 1997;3:8-25. (In Russ.).
  20. Yakovlev AYu, Pevnev AA, Ryabikov DV, Prokin EG, Seropyan MYu, Belous MS, Chistyakov SI. Novoe v diagnostike i lechenii sindroma zhirovoj emboli. Medicinskij alfavit. 2017;2(17):9. (In Russ.).
  21. Yakovlev AYu, Pevnev AA. Laboratory methods of diagnostics of fat globulimia. Medicinskij al'manah. 2016;45(5):240-243. (In Russ.).
  22. Cherkasov VA, Litvinenko SG, Rudakov AG, inventors and assignees. Sposob diagnostiki travmaticheskoj zhirovoj embolii. Patent Rossii N 2195659. 2000. (In Russ.).
  23. Litvinenko SG, Ladeyshchikov VM, Popov AV. The laboratory diagnostics of fat embolism. Russian Clinical Laboratory Diagnostics Journal [Klinicheskaya laboratornaya diagnostika]. 2012;2:22-24. (In Russ.).
  24. Gurd AR. Fat embolism: an aid to diagnosis. J Bone Joint Surg Br. 1970;52:732-737.
  25. Yakovlev AYu, Pevnev AA, Belous MS, Ryabikov DV. Zhirovaya emboliya - novoe v diagnostike, profilaktike i lechenii [Abstract]. Sbornik tezisov IV Vserossijskogo kongressa s mezhdunarodnym uchastiem “Medicinskaya pomoshch' pri travmah i neotlozhnyh sostoyaniyah v mirnoe i voennoe vremya. Novoe v organizacii i tekhnologiyah”. 2019 Feb 15-16; St. Petersburg. p. 272-274. (In Russ.).
  26. Suleimenov BK, Baitursinov MK, Mechtova GK, Emelzhanov KS, Sulejmenov KM. Fat embolism in traumatology. Vestnik KazNMU. 2016;3[-1]:90-94. (In Russ.).
  27. Gabdullin MM, Mitrakova NN, Koptina AV, Gatiatulin RG, Rozhentsov AA. Variation neurospecific protein s100b in patients with fat embolism syndrome. Vrach-aspirant. 2013;58(3):36-43. (In Russ.).
  28. Prakash S, Sen RK, Tripathy SK et al. Role of Interleukin-6 as an Early Marker of Fat Embolism Syndrome: A Clinical Study. Clin Orthop Relat Res. 2013;471(7):2340-2346. doi: https://doi.org/10.1007/s11999-013-2869-y
  29. Yoga R, Theis J, Walton M, Sutherland W. Interleukin-6 as an early marker for fat embolism. J Orthop Surg Res. 2009;4(1):18. doi https://doi.org/10.1186/1749-799x-4-18.
  30. Sorokina EG, Semenova ZhB, Granstrem OK, et al. S100B protein and autoantibodies to S100B protein in diagnostics of brain damage in craniocerebral trauma in children. S.S. Korsakov Journal of Neurology and Psychiatry = Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. 2010;110(8): 30-35. (In Russ.).
  31. Gabdullin MM, Mitrakova NN, Rozhencov AA, et al. Sindrom zhirovoj embolii. Sovremennye tekhnologii v medicine. 2012;1:108-114. (In Russ.).
  32. Crocker GH, Jones JH. Effects of oleic acid-induced lung injury on oxygen transport and aerobic capacity. Respir. Physiol. Neurobiol. 2014;196:9-43. doi: https://doi.org/10.1016/j.resp.2014.02.012
  33. Adeyinka A., Pierre L. Fat Embolism. StatPearls; c2000-01 [updated 2019 Feb 15; cited 2019 Mar 20]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499885/
  34. Plahotina EN, Bocharov SN. Zhirovaya emboliya: patogenez, profilaktika, lechenie. Novosibirsk: Nauka; 2009. (In Russ.).

About the authors

  • Vladimir Karpov, Burdenko Main Military Clinical Hospital, Moskva, Russian Federation

    Burdenko Main Military Clinical Hospital — Emergency Laboratory Unit, Clinical Laboratory Diagnostics Center, Chief

  • Irina Kleina, Burdenko Main Military Clinical Hospital, Moskva, Russian Federation

    Burdenko Main Military Clinical Hospital — Cytogenetic and Cytochemical Research Laboratory of the Clinical Hematological Research Dept, Clinical Laboratory Diagnostics Center, Chief of the Laboratory

  • Sergey P. Kazakov, Burdenko Main Military Clinical Hospital, Moskva, Russian Federation, Russian Medical Academy of Continuous Postgraduate Education, Moskva, Russian Federation

    Burdenko Main Military Clinical Hospital — Clinical Laboratory Diagnostics Center, Head of the Center

    Russian Medical Academy of Continuous Postgraduate Education — Immunology Dept, Head of the Dept

  • Daniil Korabelnikov, Moscow Medical - Social Institute named after Friedrich Haass, Moskva, Russian Federation

    Moscow Medical - Social Institute named after Friedrich Haass — Rector

  • Shamil' Gizatullin, Burdenko Main Military Clinical Hospital, Moskva, Russian Federation, Moscow State University of Food Production, Moskva, Russian Federation

    Burdenko Main Military Clinical Hospital — Neurosurgery Dept, Head of the Dept

    Moscow State University of Food Production — Surgery Dept, Medical Institute of Continuing Education, Professor

How to Cite

Fat embolism syndrome: choice and effectiveness of laboratory diagnostic methods. (2019). Russian Medical and Social Journal, 1(2), 71-82. https://doi.org/10.35571/RMSJ.2019.2.006

License

Copyright (c) Russian Medical and Social Journal

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

ISSN (Print) 2658-7726 ISSN (Online) 2658-7718