Whole lung lavage of nine children with pulmonary alveolar proteinosis: experience in a tertiary lung center
Iranian Journal of Pediatrics. 2013; 23 (1): 95-99
em Inglês
| IMEMR
| ID: emr-127112
ABSTRACT
Pulmonary alveolar proteinosis [PAP] is a rare disease in children, characterized by intra-alveolar accumulation of large amounts of surfactant proteins, which severely reduce gas exchange. Whole lung lavage [WLL] is the preferred technique for the treatment of severe PAP. This report presents nine pediatric cases with advanced PAP who underwent WLL under general anesthesia during a 9 year period. One patient was treated with multiple unilateral WLL without employing cardiopulmonary bypass [CPB] and eight cases were treated by simultaneous lavage of both lungs using partial CPB. Our experience suggested that partial CPB was useful to support oxygenation during WLL in small children with severe PAP in whom lung separation and selective lavaging of each lung were impracticable
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Ponte Cardiopulmonar
/
Criança
/
Lavagem Broncoalveolar
/
Centros de Atenção Terciária
/
Pulmão
Tipo de estudo:
Relato de Casos
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Iran. J. Pediatr.
Ano de publicação:
2013
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