Anaesthesia for serial whole-lung lavage in a patient with severe pulmonary alveolar proteinosis: A case report

被引：14

作者：

Webb S.T. ^{[1
]}

Evans A.J.R. ^{[1
]}

James A.J. ^{[1
]}

Klein A.A. ^{[1
]}

机构：

[1] Department of Anaesthesia and Intensive Care, Papworth Hospital

来源：

Journal of Medical Case Reports | / 2卷 / 1期

关键词：

Pulmonary Alveolar Proteinosis; Severe Respiratory Failure; Almitrine; Pulmonary Alveolar Proteinosis; Drainage Phase;

D O I：

10.1186/1752-1947-2-360

中图分类号：

学科分类号：

摘要：

Introduction: Pulmonary alveolar proteinosis is a rare condition that requires treatment by whole-lung lavage. We report a case of severe pulmonary alveolar proteinosis and discuss a safe and effective strategy for the anaesthetic management of patients undergoing this complex procedure. Case presentation: A 34-year-old Caucasian man was diagnosed with severe pulmonary alveolar proteinosis. He developed severe respiratory failure and subsequently underwent serial whole-lung lavage. Our anaesthetic technique included the use of pre-oxygenation, complete lung separation with a left-sided double-lumen endotracheal tube, one-lung ventilation with positive end-expiratory pressure, appropriate ventilatory monitoring, cautious use of positional manoeuvres and single-lumen endotracheal tube exchange for short-term postoperative ventilation. Conclusion: Patients with pulmonary alveolar proteinosis may present with severe respiratory failure and require urgent whole-lung lavage. We have described a safe and effective strategy for anaesthesia for whole-lung lavage. We recommend our anaesthetic technique for patients undergoing this complex and uncommon procedure. © 2008 Webb et al; licensee BioMed Central Ltd.

引用

共 7 条

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