Anesthetic Management for Whole Lung Lavage in Patients with Pulmonary Alveolar Proteinosis

Pulmonary alveolar proteinosis (PAP) is a rare disorder characterized by the deposition of lipoproteinaceous materials in the bronchoalveolar tree. Whole lung lavage was introduced in the 1960s and remains a treatment of choice for PAP. The main anesthetic challenge of whole lung lavage is maintaini...

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Bibliographic Details
Published inA & A case reports Vol. 6; no. 8; p. 234
Main Authors Tan, Zihui, Tan, Keng Tiong Jerry, Poopalalingam, Ruban
Format Journal Article
LanguageEnglish
Published United States 15.04.2016
Subjects
Aged
Anesthesia - methods
Anesthetics - administration & dosage
Bronchoalveolar Lavage - methods
Female
Humans
Middle Aged
Pulmonary Alveolar Proteinosis - therapy
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Summary:Pulmonary alveolar proteinosis (PAP) is a rare disorder characterized by the deposition of lipoproteinaceous materials in the bronchoalveolar tree. Whole lung lavage was introduced in the 1960s and remains a treatment of choice for PAP. The main anesthetic challenge of whole lung lavage is maintaining adequate oxygenation during the procedure. We describe 2 interesting patients with PAP, the anesthetic challenges faced during the lung lavage, and discuss the management strategies adopted in each case.
ISSN:2325-7237
DOI:10.1213/XAA.0000000000000283