Treatment of acute silicoproteinosis by whole-lung lavage
| Autor: | Michael J. Weyant, Marshall Stafford, Ferenc Puskas, Abigail R. Lara, Anthony Cappa, Nathaen Weitzel, James Ellis |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Biopsy Silicosis Anesthesia General Pulmonary Alveolar Proteinosis Bronchoalveolar Lavage medicine Intubation Intratracheal Intubation Humans Hypoxia Lung Mechanical ventilation business.industry respiratory system medicine.disease Respiration Artificial Surgery One-Lung Ventilation Anesthesiology and Pain Medicine medicine.anatomical_structure Cardiothoracic surgery Anesthesia Anesthetic Acute Disease Breathing Cardiology and Cardiovascular Medicine business Pulmonary alveolar proteinosis Respiratory Insufficiency medicine.drug Rare disease |
| Zdroj: | Seminars in cardiothoracic and vascular anesthesia. 17(2) |
| ISSN: | 1940-5596 |
| Popis: | Acute silicoproteinosis is a rare disease that occurs following a heavy inhalational exposure to silica dusts. Clinically, it resembles pulmonary alveolar proteinosis (PAP); silica exposure is thought to be a cause of secondary PAP. We describe a patient with biopsy-confirmed acute silicoproteinosis whose course was complicated by acute hypoxemic respiratory failure requiring mechanical ventilation. Without clinical improvement despite antibiotic and steroid treatment, the patient was scheduled for whole-lung lavage under general anesthesia. Anesthetic challenges included double-lumen tube placement and single-lung ventilation in a hypoxic patient, facilitating lung lavage, and protecting the contralateral lung from catastrophic spillage. |
| Databáze: | OpenAIRE |
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