title: Whole Lung Lavage in a Pulmonary Alveolar Proteinosis Patient with Severe Respiratory Failure.
abstract: Pulmonary alveolar proteinosis (PAP) is a rare interstitial lung disease that develops as a result of defects in the clearance of surfactant by alveolar macrophages. The accumulation of lipid- and protein-rich substances in the alveoli constitutes the main pathology of this disease. PAP has three types of aetiology: autoimmune (primary), congenital and secondary. The most common form in adults is autoimmune PAP. Whole lung lavage is a commonly performed method for treatment of this form of disease, especially in more severe cases. Performed under general anaesthesia, the material deposited in the alveoli is removed by washing. In this paper, we present a whole lung lavage under anaesthesia in a PAP patient who had severe respiratory failure.
authors.affiliation: Clinic of Anaesthesiology and Reanimation, Tepecik Training and Research Hospital, İzmir, Turkey.
authors.forename: Canan Salman
authors.initials: CS
authors.lastname: Önemli
authors.affiliation: Clinic of Anaesthesia, Dr. Suat Seren Chest Diseases and Surhery Training and Research Hospital, İzmir, Turkey.
authors.forename: Deniz Ayhan
authors.initials: DA
authors.lastname: Çatal
keywords: Whole lung lavage; anaesthesia; pulmonary alveolar proteinosis