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]

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dc.contributor.authorTeke T.
dc.contributor.authorMaden E.
dc.contributor.authorKorkmaz C.
dc.contributor.authorMetineren R.
dc.contributor.authorUzun K.
dc.date.accessioned2020-03-26T18:22:06Z
dc.date.available2020-03-26T18:22:06Z
dc.date.issued2011
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractAcute 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.en_US
dc.identifier.doi10.5578/tt.786en_US
dc.identifier.endpage187en_US
dc.identifier.issn0494-1373en_US
dc.identifier.issue2en_US
dc.identifier.pmid21740396en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage184en_US
dc.identifier.urihttps://dx.doi.org/10.5578/tt.786
dc.identifier.urihttps://hdl.handle.net/20.500.12395/27149
dc.identifier.volume59en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAnkara Universityen_US
dc.relation.ispartofTuberkuloz ve Toraksen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectARDSen_US
dc.subjectEpidural anesthesiaen_US
dc.subjectNoninvasive mechanical ventilationen_US
dc.subjectVascular surgeryen_US
dc.titleUnexplained 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]en_US
dc.typeArticleen_US

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