Adult respiratory distress syndrome after radical neck dissection.
The clinical management of an unusual case of postoperative ARDS is reported. A few hours following neck surgery and septic insult, the patient developed unexpected ARDS. Aetiologic and supportive treatment were successfully instituted and after 72 hours of intensive therapy, the patient's clinical status improved. The very short time lapse between the septic insult and appearance of ARDS is emphasized. A brief literature review on aetiology, diagnosis and therapy of sepsis, as well as some pertinent aspects concerning the pathogenesis of ARDS and its linkage to sepsis are presented.
Ezri
T
T
Department of Anesthesiology, Kaplan Hospital, Rehovot, Israel.
Szmuk
P
P
Shklar
B
B
Poria
I
I
Schattner
A
A
Soroker
D
D
D000368:Aged; D016470:Bacteremia / Q000150:complications; D002294:Carcinoma, Squamous Cell / Q000556:secondary* / Q000601:surgery*; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D037981:Neck Dissection / Q000009:adverse effects*; D012128:Respiratory Distress Syndrome / Q000209:etiology*; D012772:Shock, Septic / Q000150:complications; D013203:Staphylococcal Infections / Q000150:complications*