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- Sudhakar Kinthala, Mark Liang, Felix Khusid, and Sebron Harrison.
- From the Departments of Anesthesiology, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York.
- A A Pract. 2018 Oct 15; 11 (8): 205-207.
AbstractWhole-lung lavage (WLL) remains the gold standard in the treatment of pulmonary alveolar proteinosis. However, anesthetic management during WLL can be challenging because of the risk of intraoperative hypoxemia and various cardiorespiratory complications of 1-lung ventilation. Here, we describe a novel strategy involving the application of high-frequency percussive ventilation using a volumetric diffusive respirator (VDR-4) during WLL in a 47-year-old woman with pulmonary alveolar proteinosis. Our observations suggest that high-frequency percussive ventilation is a potentially effective ventilation strategy during WLL that may reduce the risk of hypoxemia and facilitate lavage.
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