Unexplained acute respiratory distress syndrome after varicocele surgery; report of a case [Varikosel operasyonundan sonra gelişen ve etyolojisi izah edilemeyen bir akut solunum sıkıntısı sendromu olgusu]
Küçük Resim Yok
Tarih
2011
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ankara University
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Acute respiratory distress syndrome (ARDS) is a syndrome of acute respiratory failure that is associated with several clinical disorders including direct pulmonary injury and indirect pulmonary injury. Vascular surgical patients are at risk for ARDS. A 23-year old man was admitted to our respiratory intensive care unit with short of breath, cyanosis and agitation which was developed acutely after varicocele operation under epidural anesthesia lasted for one hour. Bupivacain, fen-tanyl, remifentadyl and midazolam were used for epidural anesthesia. Oxygen saturation was 81% while breathing oxygen at FiO2 of 0.5. Arterial blood gas analysis showed hypoxemia with respiratory alkalosis with a PaO2/FiO2 score of 100. A chest radiograph demonstrated bilateral alveolar opacities. Bedside echocardiography was performed which revealed no evidence of global hypokinesia, all the chambers were normal, left ventricular ejection fraction was 65%. A diagnosis of ARDS was made and the patient was initiated on noninvasive mechanical ventilation. He was gradually weaned off the NIMV and discharged after a total hospital stay of four days. We report an ARDS case due to unexplained etiology after va-ricocele operation under epidural anesthesia and managed successfully with noninvasive mechanical ventilation.
Açıklama
Anahtar Kelimeler
ARDS, Epidural anesthesia, Noninvasive mechanical ventilation, Vascular surgery
Kaynak
Tuberkuloz ve Toraks
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
59
Sayı
2
