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Bilateral simultaneous lung lavage utilizing membrane oxygenator for pulmonary alveolar proteinosis in an 8-month-old infant.

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Τίτλος: Bilateral simultaneous lung lavage utilizing membrane oxygenator for pulmonary alveolar proteinosis in an 8-month-old infant.
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
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  Data: Bilateral simultaneous lung lavage utilizing membrane oxygenator for pulmonary alveolar proteinosis in an 8-month-old infant.
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  Data: <searchLink fieldCode="JN" term="%2215030100R%22">The Annals of thoracic surgery</searchLink> [Ann Thorac Surg] 1983 Mar; Vol. 35 (3), pp. 313-7.
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  Data: Case Reports; Journal Article
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  Data: English
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  Data: <i>Publication</i>: Amsterdam : Elsevier<br /><i>Original Publication</i>: Boston.
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  Data: <searchLink fieldCode="MM" term="%22Oxygenators%2C+Membrane%22">Oxygenators, Membrane*</searchLink><br /><searchLink fieldCode="MM" term="%22Pulmonary+Alveolar+Proteinosis%22">Pulmonary Alveolar Proteinosis</searchLink>/<searchLink fieldCode="MM" term="%22Pulmonary+Alveolar+Proteinosis+therapy%22">*therapy</searchLink> <br /><searchLink fieldCode="MM" term="%22Therapeutic+Irrigation%22">Therapeutic Irrigation</searchLink>/<searchLink fieldCode="MM" term="%22Therapeutic+Irrigation+methods%22">*methods</searchLink><br /><searchLink fieldCode="MH" term="%22Lung%22">Lung</searchLink>/<searchLink fieldCode="MH" term="%22Lung+pathology%22">pathology</searchLink> ; <searchLink fieldCode="MH" term="%22Pulmonary+Alveolar+Proteinosis%22">Pulmonary Alveolar Proteinosis</searchLink>/<searchLink fieldCode="MH" term="%22Pulmonary+Alveolar+Proteinosis+diagnostic+imaging%22">diagnostic imaging</searchLink> ; <searchLink fieldCode="MH" term="%22Pulmonary+Fibrosis%22">Pulmonary Fibrosis</searchLink>/<searchLink fieldCode="MH" term="%22Pulmonary+Fibrosis+therapy%22">therapy</searchLink> ; <searchLink fieldCode="MH" term="%22Respiratory+Distress+Syndrome%2C+Newborn%22">Respiratory Distress Syndrome, Newborn</searchLink>/<searchLink fieldCode="MH" term="%22Respiratory+Distress+Syndrome%2C+Newborn+complications%22">complications</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Infant%22">Infant</searchLink> ; <searchLink fieldCode="MH" term="%22Infant%2C+Newborn%22">Infant, Newborn</searchLink> ; <searchLink fieldCode="MH" term="%22Pulmonary+Gas+Exchange%22">Pulmonary Gas Exchange</searchLink> ; <searchLink fieldCode="MH" term="%22Radiography%22">Radiography</searchLink>
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  Label: Abstract
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  Data: 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.
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  Data: <i>Date Created: </i>19830301 <i>Date Completed: </i>19830421 <i>Latest Revision: </i>20190628
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  Data: 10.1016/s0003-4975(10)61565-2
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  Data: 6830367
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=6830367
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      – Type: doi
        Value: 10.1016/s0003-4975(10)61565-2
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        StartPage: 313
    Subjects:
      – SubjectFull: Lung pathology
        Type: general
      – SubjectFull: Pulmonary Alveolar Proteinosis diagnostic imaging
        Type: general
      – SubjectFull: Pulmonary Fibrosis therapy
        Type: general
      – SubjectFull: Respiratory Distress Syndrome, Newborn complications
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Humans
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      – SubjectFull: Infant
        Type: general
      – SubjectFull: Infant, Newborn
        Type: general
      – SubjectFull: Pulmonary Gas Exchange
        Type: general
      – SubjectFull: Radiography
        Type: general
      – SubjectFull: Oxygenators, Membrane
        Type: general
      – SubjectFull: Pulmonary Alveolar Proteinosis therapy
        Type: general
      – SubjectFull: Therapeutic Irrigation methods
        Type: general
    Titles:
      – TitleFull: Bilateral simultaneous lung lavage utilizing membrane oxygenator for pulmonary alveolar proteinosis in an 8-month-old infant.
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            NameFull: Hiratzka LF
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            NameFull: Swan DM
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            NameFull: Rose EF
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            NameFull: Ahrens RC
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            – D: 01
              M: 03
              Text: 1983 Mar
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              Y: 1983
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              Value: 35
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              Value: 3
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            – TitleFull: The Annals of thoracic surgery
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