Anesthetic Management of Lung Lavage in Patient with Pulmonary Alveolar Proteinosis Related to Pneumoconiosis: A case report.

Lim,  Hyun Kyoung; Chung,  Chong Kweon; Lee,  Choon Soo; Han,  Jeong Uk; Kim,  Tae Jung; Lee,  Hong Sik; Park,  Dong Ho

doi:1998.35.5.993

Case Report

Korean Journal of Anesthesiology 1998;35(5):993-998.
DOI: https://doi.org/10.4097/kjae.1998.35.5.993

Anesthetic Management of Lung Lavage in Patient with Pulmonary Alveolar Proteinosis Related to Pneumoconiosis: A case report.

Hyun Kyoung Lim, Chong Kweon Chung, Choon Soo Lee, Jeong Uk Han, Tae Jung Kim, Hong Sik Lee, Dong Ho Park

Abstract

Lung lavage is an accepted modality for treatment of pulmonary alveolar proteinosis. The procedure can be accomplished by the use of double lumen endobronchial tube, with lavaging of one lung while the other is ventilated. As lung lavage is an intentional drowning, particular attention must be paid to potentially serious complications such as severe hypoxemia. We report a case of lung lavage in a patient with secondary pulmonary alveolar proteinosis performed safely by careful monitoring of oxygenation and hemodynamics.

Key Words: Equipment: double lumen endobronchial tube; Lung: lavage: pulmonary alveolar proteinosis; Ventilation: one lung