Pulmonary Alveolar Proteinosis with Respiratory Failure-Anaesthetic Management of Whole Lung Lavage
Pulmonary alveolar proteinosis (PAP) is a rare disorder characterized by accumulation of amorphous acellular phospholipid material in the lungs. Whole lung lavage is the standard therapy which gives dramatic clinical improve-ment and offers a long term survival to these patients. A 43-year-old man s...
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Wolters Kluwer Medknow Publications
2009-01-01
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doaj-9bb2a30d07da4864a907eeb365f515162020-11-24T23:43:11ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492009-01-01533362366Pulmonary Alveolar Proteinosis with Respiratory Failure-Anaesthetic Management of Whole Lung LavageSunita NandkumarMadhavi DesaiManju ButaniZ UdwadiaPulmonary alveolar proteinosis (PAP) is a rare disorder characterized by accumulation of amorphous acellular phospholipid material in the lungs. Whole lung lavage is the standard therapy which gives dramatic clinical improve-ment and offers a long term survival to these patients. A 43-year-old man suffering from PAP presented to casualty with NYHA grade IV dyspnoea with oxygen saturation (SaO 2 ) on pulseoximetry 67% on room air and 78% with O 2 6 L/min. He underwent whole lung lavage under general anaesthesia using one lung ventilation with 37 F left end bronchial double lumen tube. The lung lavage was initially performed for the left lung and for the right lung 4 days later. The patient was discharged home with oxygen saturation of 96 % on room air.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2009;volume=53;issue=3;spage=362;epage=366;aulast=NandkumarPulmonary alveolar proteinosisWhole lung lavageBroncho-pulmonary lavageAnaesthesia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sunita Nandkumar Madhavi Desai Manju Butani Z Udwadia |
spellingShingle |
Sunita Nandkumar Madhavi Desai Manju Butani Z Udwadia Pulmonary Alveolar Proteinosis with Respiratory Failure-Anaesthetic Management of Whole Lung Lavage Indian Journal of Anaesthesia Pulmonary alveolar proteinosis Whole lung lavage Broncho-pulmonary lavage Anaesthesia |
author_facet |
Sunita Nandkumar Madhavi Desai Manju Butani Z Udwadia |
author_sort |
Sunita Nandkumar |
title |
Pulmonary Alveolar Proteinosis with Respiratory Failure-Anaesthetic Management of Whole Lung Lavage |
title_short |
Pulmonary Alveolar Proteinosis with Respiratory Failure-Anaesthetic Management of Whole Lung Lavage |
title_full |
Pulmonary Alveolar Proteinosis with Respiratory Failure-Anaesthetic Management of Whole Lung Lavage |
title_fullStr |
Pulmonary Alveolar Proteinosis with Respiratory Failure-Anaesthetic Management of Whole Lung Lavage |
title_full_unstemmed |
Pulmonary Alveolar Proteinosis with Respiratory Failure-Anaesthetic Management of Whole Lung Lavage |
title_sort |
pulmonary alveolar proteinosis with respiratory failure-anaesthetic management of whole lung lavage |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Anaesthesia |
issn |
0019-5049 |
publishDate |
2009-01-01 |
description |
Pulmonary alveolar proteinosis (PAP) is a rare disorder characterized by accumulation of amorphous acellular phospholipid material in the lungs. Whole lung lavage is the standard therapy which gives dramatic clinical improve-ment and offers a long term survival to these patients.
A 43-year-old man suffering from PAP presented to casualty with NYHA grade IV dyspnoea with oxygen saturation (SaO 2 ) on pulseoximetry 67% on room air and 78% with O 2 6 L/min. He underwent whole lung lavage under general anaesthesia using one lung ventilation with 37 F left end bronchial double lumen tube. The lung lavage was initially performed for the left lung and for the right lung 4 days later. The patient was discharged home with oxygen saturation of 96 % on room air. |
topic |
Pulmonary alveolar proteinosis Whole lung lavage Broncho-pulmonary lavage Anaesthesia |
url |
http://www.ijaweb.org/article.asp?issn=0019-5049;year=2009;volume=53;issue=3;spage=362;epage=366;aulast=Nandkumar |
work_keys_str_mv |
AT sunitanandkumar pulmonaryalveolarproteinosiswithrespiratoryfailureanaestheticmanagementofwholelunglavage AT madhavidesai pulmonaryalveolarproteinosiswithrespiratoryfailureanaestheticmanagementofwholelunglavage AT manjubutani pulmonaryalveolarproteinosiswithrespiratoryfailureanaestheticmanagementofwholelunglavage AT zudwadia pulmonaryalveolarproteinosiswithrespiratoryfailureanaestheticmanagementofwholelunglavage |
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