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Pulmonary alveolar proteinosis with respiratory failure-anaesthetic management of whole lung lavage.
Nandkumar, Sunita; Desai, Madhavi; Butani, Manju; Udwadia, Z.
Afiliación
  • Nandkumar S; Senior consultant, P.D. Hinduja National hospital & Medical research centre, Veer savarkar marg, Mahim, MUMBAI-400016, INDIA.
Indian J Anaesth ; 53(3): 362-6, 2009 Jun.
Article en En | MEDLINE | ID: mdl-20640150
SUMMARY: 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 improvement 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Indian J Anaesth Año: 2009 Tipo del documento: Article País de afiliación: India Pais de publicación: India

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Indian J Anaesth Año: 2009 Tipo del documento: Article País de afiliación: India Pais de publicación: India