High-frequency jet ventilation through a fibreoptic bronchoscope channel during lung lavage.
Simple manual ventilation facilitates removal of intra-alveolar accumulations. High-frequency jet ventilation can be performed through a narrow lumen like that of a fibreoptic bronchoscope. Accordingly, we expected that high frequency jet ventilation through a fibreoptic bronchoscope channel would facilitate lung lavage, and we developed a new bronchoalveolar lavage system, in which high-frequency jet ventilation through the channel of a fibreoptic bronchoscope was combined with conventional bronchoalveolar lavage. We describe a case in which this new lavage system, unlike conventional bronchoalveolar lavage, successfully removed the lipid material in the alveoli associated with pulmonary alveolar proteinosis.
Arima
H
H
Department of Anesthesia and Critical Care, Okazaki City Hospital, Koryuji-cho, Okazaki, Japan.
Nakamura
T
T
Sobue
K
K
D000328:Adult; D018893:Bronchoalveolar Lavage / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D005336:Fiber Optic Technology; D006611:High-Frequency Jet Ventilation / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D011649:Pulmonary Alveolar Proteinosis / Q000628:therapy*; D014057:Tomography, X-Ray Computed