• A & A case reports · Apr 2016

    Case Reports

    Anesthetic Management for Whole Lung Lavage in Patients with Pulmonary Alveolar Proteinosis.

    • Zihui Tan, Keng Tiong Jerry Tan, and Ruban Poopalalingam.
    • From the Department of Anaesthesia, Singapore General Hospital, Singapore.
    • A A Case Rep. 2016 Apr 15; 6 (8): 234-7.

    AbstractPulmonary alveolar proteinosis (PAP) is a rare disorder characterized by the deposition of lipoproteinaceous materials in the bronchoalveolar tree. Whole lung lavage was introduced in the 1960s and remains a treatment of choice for PAP. The main anesthetic challenge of whole lung lavage is maintaining adequate oxygenation during the procedure. We describe 2 interesting patients with PAP, the anesthetic challenges faced during the lung lavage, and discuss the management strategies adopted in each case.

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