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KMID : 0360120070290010079
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
2007 Volume.29 No. 1 p.79 ~ p.84
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Case Reports : Post-Extubation Acute Respiratory Distress Syndrome Occurred in The Orthognathic Surgery Patient
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Park Ji-Young
Lee Jung-A
Yun Sung-Hun
Park Min-Kyou
Kim Chang-Hyun
Park Je-Uk
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Abstract
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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.
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KEYWORD
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Acute respiratory distress syndrome, Orthognathic surgery, Pulmonary edema, Positive-pressure ventilation
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