Korean J Crit Care Med.  1998 Nov;13(2):243-248.

Anesthetic Management for Sequential Bronchoalveolar Lavage in a Patient with Pulmonary Alveolar Proteinosis: A case report

• Jeong YS
• Kim HJ
• Kim JH
• Kong MH
• Lee MK
• Kim NS
• Choi YS
• Lim SH

Abstract

Pulmonary alveolar proteinosis is a rare disease of unknown etiology characterized by the remittent or progressive accumulation of lipid-rich proteinaceous material within the alveolar space in the absence of inflammatory response. The removal of lipoproteinaceous material from the alveolar can the only means of effectively treating the progressive hypoxemia in pulmonary alveolar proteinosis. Bronchoalveolar lavage using a double-lumen endotracheal tube is an accepted modality for treatment of pulmonary alveolar proteinosis. We had utilized sequential bronchoalveolar lavage successfully for the treatment of a 51 year-old male patient with pulmonary alveolar proteinosis. There was no hypoxemia and unstable hemodynamics during the procedure. We conclude that the procedure will be safely performed by careful monitoring.

Keyword

Anesthetic techniques; bronchoalveolar lavage; Equipment; double lumen endobronchial tube; Lung; pulmonary alveolar proteinosis; Ventilation; one-lung

MeSH Terms

Anoxia
Bronchoalveolar Lavage*
Hemodynamics
Humans
Lung
Male
Middle Aged
Pulmonary Alveolar Proteinosis*
Rare Diseases
Ventilation