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Korean Journal of Anesthesiology 2005;48(5):549-552.
DOI: https://doi.org/10.4097/kjae.2005.48.5.549   
Whole Lung Lavage and Extracorporeal Membrane Oxygenation in a Patient with Pulmonary Alveolar Proteinosis and Lung Cancer.
Jeong Hwa Seo, Jae Hyon Bahk
Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. bahkjh@snu.ac.kr
Pulmonary alveolar proteinosis is characterized by accumulation of surfactant phospholipids and proteins within alveoli of the lungs. Sequential whole lung lavage is an accepted modality for treatment of pulmonary alveolar proteinosis. Generally, the degree of hypoxemia is tolerable while only one lung is being ventilated and the other is being lavaged. However, one patient became severely hypoxemic when one lung ventilation was performed through the left lung because of R-to-L shunt due to the lung cancer in the left lower lobe. Therefore, whole lung lavage on the right lung was successfully performed, while utilizing venovenous extracorporeal membrane oxygenation.
Key Words: pulmonary alveolar proteinosis; whole lung lavage; extracorporeal membrane oxygenation


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