Anesthetic Management for Whole-Lung Lavage in a Patient with Pulmonary Alveolar Proteinosis

Pulmonary alveolar proteinosis is characterized by accumulation of surfactant phospholipids and proteins within alveoli of the lungs. Sequential whole lung lavage is an accepted modality for treatment of pulmonary alveolar proteinosis. Generally, the degree of hypoxemia is tolerable while only one lung is being ventilated and the other is being lavaged. However, one patient became severely hypoxemic when one lung ventilation was performed through the left lung because of R-to-L shunt due to the lung cancer in the left lower lobe. Therefore, whole lung lavage on the right lung was successfully performed, while utilizing venovenous extracorporeal membrane oxygenation.

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Whole Lung Lavage and Extracorporeal Membrane Oxygenation in a Patient with Pulmonary Alveolar Proteinosis and Lung Cancer

Seo

Bahk

2005

Korean J Anesthesiol

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Anesthetic Management of Whole-Lung Lavage Using Propofol-Remifentanil in a Patient with Pulmonary Alveolar Proteinosis

Lee

Chung

et al. 2012

Korean J Crit Care Med

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Anesthetic Management for Whole-Lung Lavage in a Patient with Pulmonary Alveolar Proteinosis

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Whole Lung Lavage and Extracorporeal Membrane Oxygenation in a Patient with Pulmonary Alveolar Proteinosis and Lung Cancer

Whole Lung Lavage and Extracorporeal Membrane Oxygenation in a Patient with Pulmonary Alveolar Proteinosis and Lung Cancer

Anesthetic Management of Whole-Lung Lavage Using Propofol-Remifentanil in a Patient with Pulmonary Alveolar Proteinosis

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