10 / Anesthetic management in Pulmonary Alveolar Proteinosis (PAP)

Author(s):  
María José Hernandez Cadiz
2016 ◽  
Vol 6 (8) ◽  
pp. 234-237 ◽  
Author(s):  
Zihui Tan ◽  
Keng Tiong Jerry Tan ◽  
Ruban Poopalalingam

2021 ◽  
Vol 38 (4) ◽  
pp. 374-380
Author(s):  
Jae Wan Jung ◽  
Hyunho Lee ◽  
Jimi Oh

Pulmonary alveolar proteinosis (PAP) is an uncommon disease characterized by progressive accumulation of lipoprotein material in the lungs due to impaired surfactant clearance. Whole-lung lavage (WLL) is the current standard treatment and consists of sequential lavage of each lung to mechanically remove the residual material from the alveoli. Although WLL is considered safe, unexpected complications can occur. Moreover, due to the rarity of the disease itself, this procedure is unknown to many physicians, and management of intraoperative complications can be challenging for anesthesiologists. Lung ultrasound (LUS) provides reliable and valuable information for detecting perioperative pulmonary complications and, in particular, quantitation of lung water content. There have been reports on monitoring the different stages of controlled deaeration of the non-ventilated lung during WLL using LUS. However, it has been limited to non-ventilated lungs. Therefore, we report the use of LUS in WLL to proactively detect pulmonary edema in the ventilated lung and implement a safe and effective anesthesia strategy. Given the limited diagnostic tools available to anesthesiologists in the operating room, LUS is a reliable, fast, and noninvasive method for identifying perioperative pulmonary complications in patients with PAP undergoing WLL.


2003 ◽  
Vol 99 (Supplement) ◽  
pp. B39-B40
Author(s):  
Amir Khazaieli ◽  
Ali Jahan ◽  
Vivek Sabharwal ◽  
Mani S. Kavuru ◽  
Marc J. Popovich

1998 ◽  
Vol 35 (4) ◽  
pp. 781
Author(s):  
Hyun Kyo Lim ◽  
Kwang Ho Lee ◽  
Jong Taeg Park ◽  
Soon Yul Kim ◽  
Kong Been Im

1994 ◽  
Vol 27 (2) ◽  
pp. 197 ◽  
Author(s):  
Jun Ro Yoon ◽  
Jong Wook Kim ◽  
Myoung Hun Kong ◽  
Hae Ja Lim ◽  
Byung Kook Chae ◽  
...  

1998 ◽  
Vol 35 (5) ◽  
pp. 993 ◽  
Author(s):  
Hyun Kyoung Lim ◽  
Chong Kweon Chung ◽  
Choon Soo Lee ◽  
Jeong Uk Han ◽  
Tae Jung Kim ◽  
...  

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