title: Anesthetic techniques to facilitate lung lavage for pulmonary alveolar proteinosis in children-new airway techniques and a review of the literature.
abstract: Pediatric patients with pulmonary alveolar proteinosis require whole lung lavage to clear the accumulation of lipoproteinaceous material within the alveoli, to maintain respiratory function. Anesthesia for this presents a challenge due to preexisting respiratory failure, and the small diameter and length of the pediatric airway, which is often unable to accommodate existing one-lung isolation and ventilation equipment. Novel techniques to facilitate lung lavage on seven occasions are described and placed in the context of the existing literature to date.
authors: Department of Paediatric Anaesthesia, Great Ormond Street Hospital, London, UK.
authors: Caroline A
authors: CA
authors: Wilson
authors: Sally L
authors: SL
authors: Wilmshurst
authors: Ann E
authors: AE
authors: Black
mesh_terms: D058109:Airway Management / Q000379:methods*; D000758:Anesthesia / Q000379:methods*; D018893:Bronchoalveolar Lavage / Q000379:methods*; D002648:Child; D006801:Humans; D011649:Pulmonary Alveolar Proteinosis / Q000150:complications*; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000628:therapy*
keywords: anesthesia; children; lung lavage; pediatrics; pulmonary alveolar proteinosis; pulmonary ventilation