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Paediatric anaesthesia · Jun 2015
ReviewAnesthetic techniques to facilitate lung lavage for pulmonary alveolar proteinosis in children-new airway techniques and a review of the literature.
- Caroline A Wilson, Sally L Wilmshurst, and Ann E Black.
- Department of Paediatric Anaesthesia, Great Ormond Street Hospital, London, UK.
- Paediatr Anaesth. 2015 Jun 1;25(6):546-53.
AbstractPediatric patients with pulmonary alveolar proteinosis require whole lung lavage to clear the accumulation of lipoproteinaceous material within the alveoli, to maintain respiratory function. Anesthesia for this presents a challenge due to preexisting respiratory failure, and the small diameter and length of the pediatric airway, which is often unable to accommodate existing one-lung isolation and ventilation equipment. Novel techniques to facilitate lung lavage on seven occasions are described and placed in the context of the existing literature to date.© 2015 John Wiley & Sons Ltd.
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