Dispnea pada pasien multipel fraktur ekstremitas post open reduction internal fixation

Dyspnea is a common symptom that frequently requires emergency treatment, but the intensity and degree vary from one patient to another. A detailed anamnesis is very important to gain certainty whether the patient is suffering from dyspnea. Once dyspnea has been established, it is important to obtain data on the causes of dyspnea and to assess signs and symptoms that associated with dyspnea. By receiving a complete data, we can intervene dyspnea immediately and appropriately. It is presented in this report that a male 19 years patient, was brought to intensive care unit (ICU) with shortness of breath and loss of consciousness symptom with post open reduction internal fixation (ORIF) et causa open fracture of middle third of right tibia grade II; Open segmental fracture of right fibula; Closed fracture of the left distal radius frykman VIII; Closed fracture of the right distal radius frykman VIII in third day. The clinical examination and other supporting investigations are diagnostic for acute respiratory distress syndrome (ARDS). In ICU, the patient underwent lung protective ventilation and pharmacotherapy. The patient started to undergo weaning process on day 4, was extubated on day 13 and was moved toward ward unit on day 17. The primary target of ARDS management is keeping the alveoli inflated to maintain arterial gases exchange and adequate tissue oxygenation, fluid and acid-base balance, and proper circulation until the capillary membrane integrity back to normal. It is also intended to address the precipitating factors and other things as well as to give supportive therapy.