Supportive care of right ventricular failure due to fat embolism syndrome

Academic Article


  • Pulmonary fat embolism is a common phenomenon in cases of traumatic long bone fractures, with only a minority developing the more catastrophic Fat Embolism Syndrome (FES). Diagnosis is clinical and requires a high index of suspicion. Treatment remains under-investigated, with common interventions having low quality level-of-evidence and no mortality benefit. In severe cases, focus should be on supporting the failing right ventricle through use of inotropes, pulmonary vasodilators, and mechanical circulatory support. This requires a thorough understanding of the unique physiology through the pulmonary circulation.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Schwalbach KT; Wade RC; Mkorombindo T; McElwee SK; Wells JM; Wille KM
  • Volume

  • 34