Anesthesia in patient undergoing whole lung lavage : A case report
Keywords:
Anesthesia, pulmonary alveolar proteinosis, whole lung lavageAbstract
Pulmonary alveolar proteinosis (PAP) is a rare lung diseases in which there is abnormal accumulation of lung surfactant in alveoli leading to compromised gas exchange. A 75-year-old woman was diagnosed with PAP and planned for whole lung lavage under general anesthesia with limitations of experience and some anesthetic equipments. We described a safe perioperative management included good teamwork with the respiratory physician, preoxygenation, complete lung isolation, one lung ventilation with positive end-expiratory pressure, cautious positioning, closed ventilatory monitoring and temporary postoperative mechanical ventilation
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Webb ST, Evans AJ, Varley AJ, Klein AA. Anaesthesia for serial whole-lung lavage in a patient with severe pulmonary alveolar proteinosis: a case report. J Med Case Reports. 2008 Dec;2(1):360.
Rebelo HM, Guedes L, Veiga D, Fiuza AC, Abelha F. Anaesthetic, Procedure and Complications Management of Serial Whole-Lung Lavage in an Obese Patient with Pulmonary Alveolar Proteinosis: Case Report. Brazilian Journal of Anesthesiology. 2012 Nov;62(6):869–77.
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Salman Onemli C, Catal DA. Whole Lung Lavage in a Pulmonary Alveolar Proteinosis Patient with Severe Respiratory Failure. Turk J Anaesth Reanim. 2016 May 27;4 4(2):111
Thompson JC, Kishima M, Gomes MU, Menezes MA, Perandre Neto J, Pereira PTG. Pulmonary alveolar proteinosis: four cases. J Bras Pneumol. 2006 Jun 1;32(3):261-6.
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