J Korean Assoc Maxillofac Plast Reconstr Surg.  2007 Jan;29(1):79-84.

Post-extubation acute respiratory distress syndrome occurred in the orthognathic surgery patient : a Case Report

• Park JY
• Lee JA
• Yun SH
• Park MK
• Kim CH
• Park JU

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.

Keyword

Acute respiratory distress syndrome; Orthognathic surgery; Pulmonary edema; Positivepressure ventilation

MeSH Terms

Capillaries
Carbon Dioxide
Diagnosis
Early Diagnosis
Humans
Orthognathic Surgery*
Oxygen
Permeability
Pulmonary Edema
Respiratory Distress Syndrome, Adult*
Respiratory Insufficiency
Ventilation
Young Adult
Carbon Dioxide
Oxygen