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

Lee, Ji Hyeon; Chung, Chan Jong; Oh, Ji Na; Ko, Byung Ju; Choi, So Ron

doi:10.4266/kjccm.2012.27.3.173

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2020

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“…Barotrauma caused by a rapid infusion system was not observed in clinical and radiological aspects. The use of a rapid infusion system resulted in a shorter procedural time than other cases which used similar amount of fluid [19].…”

Section: Discussionmentioning

confidence: 98%

Whole lung lavage using a rapid infusion system to treat a patient with pulmonary alveolar proteinosis

Won

Park

Lee

et al. 2020

Yeungnam Univ J Med

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Whole lung lavage (WLL) is a therapeutic procedure to remove accumulated material by infusing and draining the lungs with lavage fluid. This procedure has been regarded as the current standard of care to treat pulmonary alveolar proteinosis. However, the WLL protocol has not yet been standardized and the technique has been refined and modified a number of times. A rapid infusion system is a device used to infuse blood or other fluids at precise rates and normothermic conditions. This device is not typically used in WLL, which relies on the passive infusion of fluids using the gravitational force. However, in this study we performed WLL using a rapid infusion system, since we aimed to take advantage of its shorter operation time and greater degree of control over fluid volume and temperature. The patient's symptoms improved without the occurrence of any complications.

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Section: Discussionmentioning

confidence: 98%