Academic Journal
Bilateral simultaneous lung lavage utilizing membrane oxygenator for pulmonary alveolar proteinosis in an 8-month-old infant.
| Τίτλος: | Bilateral simultaneous lung lavage utilizing membrane oxygenator for pulmonary alveolar proteinosis in an 8-month-old infant. |
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| Συγγραφείς: | Hiratzka LF, Swan DM, Rose EF, Ahrens RC |
| Πηγή: | The Annals of thoracic surgery [Ann Thorac Surg] 1983 Mar; Vol. 35 (3), pp. 313-7. |
| Τύπος έκδοσης: | Case Reports; Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 15030100R Publication Model: Print Cited Medium: Print ISSN: 0003-4975 (Print) Linking ISSN: 00034975 NLM ISO Abbreviation: Ann Thorac Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: Amsterdam : Elsevier Original Publication: Boston. |
| Ιατρικοί όροι (MeSH): | Oxygenators, Membrane*, Pulmonary Alveolar Proteinosis/*therapy , Therapeutic Irrigation/*methods, Lung/pathology ; Pulmonary Alveolar Proteinosis/diagnostic imaging ; Pulmonary Fibrosis/therapy ; Respiratory Distress Syndrome, Newborn/complications ; Female ; Humans ; Infant ; Infant, Newborn ; Pulmonary Gas Exchange ; Radiography |
| Περίληψη: | Pulmonary alveolar proteinosis can result in severe hypoxemia. Treatment of symptomatic patients using unilateral or lobar staged lung lavage often results in improved oxygenation and functional capacity. Lung lavage is technically difficult in infants and small children because of inability to ventilate part of the lung safely and adequately during lavage of other areas. We used extracorporeal membrane oxygenation to facilitate adequate gas exchange during lung lavage for severe respiratory failure in a 3.7 kg, 8-month-old child with pulmonary alveolar proteinosis. Oxygenation was markedly improved immediately following the procedure. Extracorporeal membrane oxygenation permits satisfactory respiratory support in the setting of severe respiratory failure and should be considered an adjunct for treatment of pulmonary alveolar proteinosis when lung lavage cannot be otherwise safely accomplished. |
| Entry Date(s): | Date Created: 19830301 Date Completed: 19830421 Latest Revision: 20190628 |
| Update Code: | 20260130 |
| DOI: | 10.1016/s0003-4975(10)61565-2 |
| PMID: | 6830367 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 0003-4975 |
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| DOI: | 10.1016/s0003-4975(10)61565-2 |