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10.4314/gmj.v53i3.9 http://scihub22266oqcxt.onion/10.4314/gmj.v53i3.9 31741497!6842735!31741497     free     free     free Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Ghana+Med+J 2019 ; 53 (3): 248-251 Nephropedia Template TP {{tp|p=31741497|t=2019. Anaesthetic considerations for whole lung lavage for pulmonary alveolar proteinosis |pdf=|usr=}}{{31741497}} gab.com Text Anaesthetic considerations for whole lung lavage for pulmonary alveolar proteinosis JO: Ghana Med J http://www.kidney.de/pget.php?&tw=1&pmid=31741497 #FOAvip Pulmonary alveolar proteinosis (PAP) is an uncommon lung disease characterized by excessive accumulation of pulmonary surfactant that usually requires treatment with whole-lung lavage. A 47-year-old female presented with history of dry cough and breathlessness for past 6months. Chest radiograph demonstrated bilateral alveolar shadows and high resolution computerized tomography thorax showed crazy paving pattern. Broncho-alveolar lavage (BAL) and transbronchial lung biopsy confirmed a diagnosis of PAP. Due to worsening hypoxemia and respiratory failure, wholelung lavage was planned and performed. Anaesthetic management involved integrated use of pre-oxygenation, complete lung isolation, one-lung ventilation with optimal positive end-expiratory pressure, vigilant use of positional manoeuvres, and use of recruitment manoeuvres for the lavaged lung. We have discussed valuable strategies for the anaesthetic management of patients undergoing this multifaceted procedure in a case of severe PAP. FUNDING: None declared. Twit Text FOAVip Anaesthetic considerations for whole lung lavage for pulmonary alveolar proteinosis ????Ghana Med J http://www.kidney.de/pget.php?&tw=1&pmid=31741497 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=31741497 #FOAvip English Wikipedia <ref>{{Cite pmid|31741497}}</ref> Anaesthetic considerations for whole lung lavage for pulmonary alveolar proteinosis #MMPMID31741497 Pandit A; Gupta N; Madan K; Bharti SJ; Kumar V Ghana Med J 2019[Sep]; 53 (3): 248-251 PMID31741497show ga Pulmonary alveolar proteinosis (PAP) is an uncommon lung disease characterized by excessive accumulation of pulmonary surfactant that usually requires treatment with whole-lung lavage. A 47-year-old female presented with history of dry cough and breathlessness for past 6months. Chest radiograph demonstrated bilateral alveolar shadows and high resolution computerized tomography thorax showed crazy paving pattern. Broncho-alveolar lavage (BAL) and transbronchial lung biopsy confirmed a diagnosis of PAP. Due to worsening hypoxemia and respiratory failure, wholelung lavage was planned and performed. Anaesthetic management involved integrated use of pre-oxygenation, complete lung isolation, one-lung ventilation with optimal positive end-expiratory pressure, vigilant use of positional manoeuvres, and use of recruitment manoeuvres for the lavaged lung. We have discussed valuable strategies for the anaesthetic management of patients undergoing this multifaceted procedure in a case of severe PAP. FUNDING: None declared. |*Anesthetics/administration & dosage[MESH] |*Bronchoalveolar Lavage/methods[MESH] |*Pulmonary Alveolar Proteinosis/surgery[MESH] |*Pulmonary Surgical Procedures/methods[MESH] |Female[MESH] |Humans[MESH]Anaesthetic considerations for whole lung lavage for pulmonary alveola(epmc).pdf DeepDyve Pubget Overpricing