Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

POST-EXTUBATION ACUTE RESPIRATORY DISTRESS SYNDROME OCCURRED IN THE ORTHOGNATHIC SURGERY PATIENT : A CASE REPORT

악교정 수술 환자에서 발관 후 발생된 급성 호흡곤란 증후군 : 증례보고

  • Park, Ji-Young (Department of Oral and Maxillofacial Surgery, Kang-Nam St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, Jung-A (Department of Oral and Maxillofacial Surgery, Kang-Nam St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Yun, Sung-Hun (Department of Oral and Maxillofacial Surgery, Kang-Nam St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Min-Kyou (Department of Oral and Maxillofacial Surgery, Kang-Nam St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Chang-Hyun (Department of Oral and Maxillofacial Surgery, Kang-Nam St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Je-Uk (Department of Oral and Maxillofacial Surgery, Kang-Nam St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 박지영 (가톨릭의과대학 강남성모병원 구강악안면외과) ;
  • 이정아 (가톨릭의과대학 강남성모병원 구강악안면외과) ;
  • 윤성훈 (가톨릭의과대학 강남성모병원 구강악안면외과) ;
  • 박민규 (가톨릭의과대학 강남성모병원 구강악안면외과) ;
  • 김창현 (가톨릭의과대학 강남성모병원 구강악안면외과) ;
  • 박재억 (가톨릭의과대학 강남성모병원 구강악안면외과)
  • Published : 2007.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

Acute respiratory distress syndrome(ARDS) is severe acute hypoxic respiratory failure state with dynamic impairment in oxygen and carbon dioxide transfer with the need for high levels of supplementary oxygen and a high minute ventilation. This syndrome is caused by pulmonary edema due to increased permeability of the alveolar capillary barrier by various factors. ARDS is an uncommon, but a potentially life-threatening complication. Therefore, immediate diagnosis and appropriate therapy must be performed. The present case is post-extubation ARDS immediately occurred in an orthognathic surgery patient who are healthy 19-year-old man. He rapidly recovered from ARDS without complication by early diagnosis and proper treatment. This case report was aimed to describe the process of the development, possible causes and the management of ARDS occurred in an orthognathic surgery patient

급성호흡곤란 증후군은 드물게 발생되나 환자의 생명을 위협할 수 있는 응급 합병증이다. 본 증례는 내과적 기왕력이 없는 건강한 악교정 수술 환자에서 발관 후 지연 발생된 급성호흡곤란 증후군의 치험례로서, 즉각적인 진단 및 응급처치로 타 장기로의 합병증 없이 24시간 내에 빠르게 호전되었다. 구강외과의사는 전신마취 수술 중 혹은 수술 후 발생될 수 있는 다양한 응급상황에 대해 정확히 이해하고, 즉각적인 처치를 시행할 수 있어야 하며, 이로 인한 합병증을 줄이는 노력을 계속 하여야 할 것이다.

Keywords

References

  1. Silverboard H : Evaluating ARDS : A fresh look at a difficult diagnosis-the differential ranges form alveolar hemorrhage to CHF-acute respiratory distress syndrome. J Respir Dis 24(8) : 340, 2003
  2. Ashbaugh DG, Bigelow DB, Petty TL et al : Acute respiratory distress syndrome in adults. Lacet 2 : 319, 1967
  3. Lewandowski K : Epidermiological data challenge ARDS/ALI. Intensive Care Med 25 : 920, 1999 https://doi.org/10.1007/s001340050983
  4. Bernard GR, Artigas A, Bringham KL et al : The American-European Consensus Conference on ARDS: definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 149(pt1) : 818, 1994 https://doi.org/10.1164/ajrccm.149.3.7509706
  5. Moss M, Integram RH : Acute respiratory distress syndrome. Harrison's Principles of Internal Medicine, 15th ed. New York, McGraw-Hill, 2001, p.1523
  6. Vollman KM, Aulbach RK : Acute repiratory distress syndrome. AACN Clinical Reference of Critical Care Nursing, 4th ed. Philadelphia, Mosby, 1998, p.529
  7. Kobayashi H, Itoh T, Sasaki Y et al : Abstract quote form diffuse alveolar damage. Clin Imaging 20(1) : 1, 1996 https://doi.org/10.1016/0899-7071(94)00057-3
  8. Baron J, Wenker, O : The acute respiratory distress syndrome. Myths and controversies. IJEICM 1(1) : 1, 1997
  9. Hansen-Flascgen J, Siegel, MD〔online〕: Acute respiratory distress syndrome : definition ; diagnosis ; and etiology. http://store.utdol.com/app/index.asp
  10. Maitra A, Kumar, V : The lung and the upper respiratory tract. Robbins Basic Pathology, 7th ed. Philadephia, Saunders, 2003, p.453
  11. Gal P, Shaffer CL : Acute respiratory distress syndrome, Pathophysiologic Approach, 5th ed. New York, McGraw-Hill, 2002, p.539