Therapeutic Whole-Lung Lavage for Pulmonary Alveolar Proteinosis: A Procedural Update.

J Bronchology Interv Pulmonol

Departments of *General Anesthesiology and Outcomes Research †Critical Care Anesthesiology, Anesthesiology Institute ‡Respiratory Institute, Cleveland Clinic, Cleveland, OH.

Published: July 2015

AI Article Synopsis

  • Pulmonary alveolar proteinosis is characterized by excess surfactant buildup due to issues with alveolar macrophage clearance.
  • The review focuses on therapeutic whole-lung lavage as a treatment method, detailing its indications, evaluation processes, and anesthetic considerations.
  • It provides a comprehensive guide on the procedure's technical steps, postoperative care, potential complications, and long-term effects for patients.

Article Abstract

Pulmonary alveolar proteinosis is a disease caused by increased accumulation and impaired clearance of surfactant by alveolar macrophages. This narrative review summarizes the role of therapeutic whole-lung lavage in the management of pulmonary alveolar proteinosis. We describe the preprocedural evaluation, indications, and anesthetic considerations, along with step-by step technical aspects of the procedure, postoperative recovery, potential complications, and long-term outcomes.

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Source
http://dx.doi.org/10.1097/LBR.0000000000000180DOI Listing

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