Anesthetic Management of Whole-Lung Lavage Using Propofol-Remifentanil in a Patient with Pulmonary Alveolar Proteinosis / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 173-178, 2012.
Article
in Korean
| WPRIM
| ID: wpr-654895
ABSTRACT
Pulmonary alveolar proteinosis (PAP) is characterized by the progressive accumulation of phospholipids and proteins within the alveolar sacs without producing an inflammatory response. Whole-lung lavage (WLL) is performed as the standard therapy for this disease because it serves to wash out the proteinaceous material from the alveoli. In this case, we performed sequential WLL using propofol-remifentanil, which is not related to hypoxic pulmonary vasoconstriction during one-lung ventilation. The patient's symptoms and radiologic findings showed improvement without the occurrence of any specific complications. Therefore, we report a case of anesthetic management of WLL performed repeatedly for a patient with recurrent PAP.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Phospholipids
/
Pulmonary Alveolar Proteinosis
/
Vasoconstriction
/
Proteins
/
One-Lung Ventilation
/
Therapeutic Irrigation
Limits:
Humans
Language:
Korean
Journal:
The Korean Journal of Critical Care Medicine
Year:
2012
Type:
Article
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