Abstract:P ulmonary alveolar proteinosis (PAP) is a rare lung disease in which surfactant accumulates in alveolar macrophages and the distal airways, resulting in impaired gas exchange. 1,2 For symptomatic patients, standard treatment is whole lung lavage to restore gas exchange. 1,3 This procedure is performed under general anesthesia using a double-lumen endotracheal tube with single lung-ventilation. 3,4 Warmed saline is instilled in the target lung in serial aliquots until the fluid return resembles normal lavage f… Show more
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