title: Whole lung lavage with intermittent double lung ventilation. A modified technique for managing pulmonary alveolar proteinosis.
abstract: Whole lung lavage is still the most effective treatment for pulmonary alveolar proteinosis. We report a 21-year-old male diagnosed with pulmonary alveolar proteinosis by open lung biopsy and who underwent whole lung lavage with a modified technique. He showed significant improvement in clinical and functional parameters. The technique of intermittent double lung ventilation during lavage procedure keeps the oxygen saturation in acceptable limits in patients at risk for severe hypoxemia and allows the procedure to be completed in a single setting.
authors.affiliation: Department of Medicine, King Abdul Aziz National Guard Hospital, Alhasa, Kingdom of Saudi Arabia.
authors.forename: Raees
authors.initials: R
authors.lastname: Ahmed
authors.forename: Mobeen
authors.initials: M
authors.lastname: Iqbal
authors.forename: Sayed H
authors.initials: SH
authors.lastname: Kashef
authors.forename: Mohammed I
authors.initials: MI
authors.lastname: Almomatten
mesh_terms: D000293:Adolescent; D018893:Bronchoalveolar Lavage / Q000379:methods*; D006801:Humans; D008297:Male; D011649:Pulmonary Alveolar Proteinosis / Q000628:therapy*; D012121:Respiration, Artificial / Q000379:methods*