Abstract
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.
Résumé
La prise en charge clinique d’un cas inhabituel d’ARDS postopératoire est décrit. Quelques heures après une chirurgie du cou et une plaie septique, le patient a développé un ARDS imprévu. Une thérapeutique étiologique et curative fut mise en oeuvre et après 72 heures de soins intensifs, l’état du patient s’améliora. Il faut insister sur le délai très bref entre la plaie septique et l’apparition de l’ARDS. Une brève revue de la littérature sur l’étiologie, le diagnostic et le traitement du sepsis, ainsi que quelques points pertinents concernant la pathogénie de l’ARDS et ses rapports à un sepsis sont présentés.
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Ezri, T., Szmuk, P., Shklar, B. et al. Adult respiratory distress syndrome after radical neck dissection. Can J Anaesth 40, 658–663 (1993). https://doi.org/10.1007/BF03009702
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DOI: https://doi.org/10.1007/BF03009702