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KMID : 0356919950290060903
Korean Journal of Anesthesiology
1995 Volume.29 No. 6 p.903 ~ p.908
Bilateral Sequential Bronchopulmonary Lavage for Pulmonary Alveolar Proteinosis
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Abstract
Pulmonary alveolar proteinosis is a rare disease of unknown etiology characterized by the accumulation of surfactant like phospholipids and proteinaceous material in the alveolar space. The removal of lipoproteinaceous material from the alveolar
can be
the only means of effectively treating the progressive hypoxemian in pulmonary alveolar proteinosis. The current technique of the lavage follows: The procedure can be accomplished by the use of Carlens tube with lavaging of one lung while the
other
is
ventilated, the ventilated lung is lavaged in a similar manner two or three days later.
In this case, we performed sequential bilateral pulmonary lavage. We report a case of bronchopulmonary lavage in which changes of oxygenation and hemodynamics were observed.
We conclude that the procedure can be performed by careful monitoring such as continuous monitoring of SVO2, SpO2, effective static comliance.(Korean J Anesthesiol 1995; 29: 903¡­908)
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