Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Anaesthesia for serial whole-lung lavage in a patient with severe pulmonary alveolar proteinosis: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Anaesthesia for serial whole-lung lavage in a patient with severe pulmonary alveolar proteinosis a case report Stephen T Webb Adrian JR Evans A James Varley and Andrew A Klein Address Department of Anaesthesia Intensive Care Papworth Hospital Cambridge CB23 3RE UK Email StephenTWebb - stephentwebb@ Adrian JR Evans - A James Varley - varley_james@ Andrew A Klein - Corresponding author Published 27 November 2008 Received 14 January 2008 Journal of Medical Case Reports 2008 2 360 doi 1752-1947-2-360 Accepted 27 November 2008 This article is available from http content 2 1 360 2008 Webb et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Pulmonary alveolar proteinosis is a rare condition that requires treatment by whole-lung lavage. We report a case of severe pulmonary alveolar proteinosis and discuss a safe and effective strategy for the anaesthetic management of patients undergoing this complex procedure. Case presentation A 34-year-old Caucasian man was diagnosed with severe pulmonary alveolar proteinosis. He developed severe respiratory failure and subsequently underwent serial whole-lung lavage. Our anaesthetic technique included the use of pre-oxygenation complete lung separation with a left-sided double-lumen endotracheal tube one-lung ventilation with positive end-expiratory pressure appropriate ventilatory monitoring cautious use of positional manoeuvres and singlelumen endotracheal tube exchange for short-term postoperative .
