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Anaesthetic considerations for whole lung lavage for pulmonary alveolar pro-teinosis
- Source :
- Ghana Medical Journal; Vol 53, No 3 (2019); 248-251, Ghana Medical Journal
- Publication Year :
- 2019
- Publisher :
- African Journals Online (AJOL), 2019.
-
Abstract
- Pulmonary alveolar proteinosis (PAP) is an uncommon lung disease characterized by excessive accumulation of pulmonary surfactant that usually requires treatment with whole-lung lavage. A 47-year-old female presented with history of dry cough and breathlessness for past 6months. Chest radiograph demonstrated bilateral alveolar shadows and high resolution computerized tomography thorax showed crazy paving pattern. Broncho-alveolar lavage (BAL) and transbronchial lung biopsy confirmed a diagnosis of PAP. Due to worsening hypoxemia and respiratory failure, wholelung lavage was planned and performed. Anaesthetic management involved integrated use of pre-oxygenation, complete lung isolation, one-lung ventilation with optimal positive end-expiratory pressure, vigilant use of positional manoeuvres, and use of recruitment manoeuvres for the lavaged lung. We have discussed valuable strategies for the anaesthetic management of patients undergoing this multifaceted procedure in a case of severe PAP. Keywords : PAP, Whole lung lavage, anaesthesia, management Funding : None declared
- Subjects :
- Thorax
Case Report
02 engineering and technology
Hypoxemia
03 medical and health sciences
0202 electrical engineering, electronic engineering, information engineering
medicine
Whole lung lavage
030304 developmental biology
0303 health sciences
PAP
anaesthesia
management
Lung
medicine.diagnostic_test
business.industry
respiratory system
medicine.disease
respiratory tract diseases
medicine.anatomical_structure
Respiratory failure
Anesthesia
Breathing
020201 artificial intelligence & image processing
medicine.symptom
Chest radiograph
Pulmonary alveolar proteinosis
business
Subjects
Details
- ISSN :
- 00169560
- Volume :
- 53
- Database :
- OpenAIRE
- Journal :
- Ghana Medical Journal
- Accession number :
- edsair.doi.dedup.....89aa1f4f7ad3ab26f2fde67075bfaa51