Airway Obstruction and Flattening of Arterial Pressure Wave during Whole Lung Lavage: A Case Report.
10.4266/kjccm.2013.28.2.133
- Author:
Hyun Jung KOH
1
;
Sung Jin HONG
;
Ho Kyung SONG
;
Ji Young LEE
;
Jin Young CHON
;
Ho Sik MOON
;
Yu Mi JU
;
Hyung Mook LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Yeouido St. Mary's Hospital, Seoul, Korea. hongs@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
bronchospasm;
lavage;
pulmonary alveolar proteinosis
- MeSH:
Airway Obstruction;
Arterial Pressure;
Bronchial Spasm;
Bronchoalveolar Lavage;
Hemodynamics;
Lung;
Pulmonary Alveolar Proteinosis;
Therapeutic Irrigation
- From:The Korean Journal of Critical Care Medicine
2013;28(2):133-136
- CountryRepublic of Korea
- Language:English
-
Abstract:
Whole lung lavage (WLL) is a challenging procedure; because lavage fluid may perturb the respiratory and hemodynamic systems. We observed severe airway obstruction and flattening arterial pressure wave during WLL for treatment of pulmonary alveolar proteinosis. The aim of this case report is to discuss the anesthetic requirement in order to prevent bronchospasm during WLL. Furthermore, we discuss the potential of lavage fluid to cause airway obstruction and decrease cardiac outflow through the mass effect.
