Management of pulmonary alveolar proteinosis with whole lung lavage using extracorporeal membrane oxygenation support in a postrenal transplant patient with graft failure
Pulmonary alveolar proteinosis (PAP) is a rare lung disease characterized by accumulation of excessive lung surfactant in the alveoli leading to restrictive lung functions and impaired gas exchange. Whole lung lavage (WLL) is the treatment modality of choice, which is usually performed using double...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2016-01-01
|
| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=2;spage=379;epage=382;aulast=Chauhan |
| _version_ | 1818172170576068608 |
|---|---|
| author | Sandeep Chauhan Kamal P Sharma Akshay K Bisoi Raju Pangeni Karan Madan Yogendra S Chauhan |
| author_facet | Sandeep Chauhan Kamal P Sharma Akshay K Bisoi Raju Pangeni Karan Madan Yogendra S Chauhan |
| author_sort | Sandeep Chauhan |
| collection | DOAJ |
| description | Pulmonary alveolar proteinosis (PAP) is a rare lung disease characterized by accumulation of excessive lung surfactant in the alveoli leading to restrictive lung functions and impaired gas exchange. Whole lung lavage (WLL) is the treatment modality of choice, which is usually performed using double lumen endobronchial tube insertion under general anesthesia and alternating unilateral lung ventilation and washing with normal saline. It may be difficult to perform WLL in patients with severe hypoxemia wherein patients do not tolerate single lung ventilation. Extracorporeal membrane oxygenation support (ECMO) has been used in such patients. We report a patient with autoimmune PAP following renal transplant who presented with marked hypoxemia and was managed by WLL under ECMO support. |
| first_indexed | 2024-12-11T19:08:21Z |
| format | Article |
| id | doaj.art-d8bbd547c7ae40988438559acdcc06e5 |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-12-11T19:08:21Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-d8bbd547c7ae40988438559acdcc06e52022-12-22T00:53:51ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842016-01-0119237938210.4103/0971-9784.179627Management of pulmonary alveolar proteinosis with whole lung lavage using extracorporeal membrane oxygenation support in a postrenal transplant patient with graft failureSandeep ChauhanKamal P SharmaAkshay K BisoiRaju PangeniKaran MadanYogendra S ChauhanPulmonary alveolar proteinosis (PAP) is a rare lung disease characterized by accumulation of excessive lung surfactant in the alveoli leading to restrictive lung functions and impaired gas exchange. Whole lung lavage (WLL) is the treatment modality of choice, which is usually performed using double lumen endobronchial tube insertion under general anesthesia and alternating unilateral lung ventilation and washing with normal saline. It may be difficult to perform WLL in patients with severe hypoxemia wherein patients do not tolerate single lung ventilation. Extracorporeal membrane oxygenation support (ECMO) has been used in such patients. We report a patient with autoimmune PAP following renal transplant who presented with marked hypoxemia and was managed by WLL under ECMO support.http://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=2;spage=379;epage=382;aulast=ChauhanDouble lumen tube; Extracorporeal membrane oxygenation; Pulmonary alveolar proteinosis; Venovenous; Whole lung lavage |
| spellingShingle | Sandeep Chauhan Kamal P Sharma Akshay K Bisoi Raju Pangeni Karan Madan Yogendra S Chauhan Management of pulmonary alveolar proteinosis with whole lung lavage using extracorporeal membrane oxygenation support in a postrenal transplant patient with graft failure Annals of Cardiac Anaesthesia Double lumen tube; Extracorporeal membrane oxygenation; Pulmonary alveolar proteinosis; Venovenous; Whole lung lavage |
| title | Management of pulmonary alveolar proteinosis with whole lung lavage using extracorporeal membrane oxygenation support in a postrenal transplant patient with graft failure |
| title_full | Management of pulmonary alveolar proteinosis with whole lung lavage using extracorporeal membrane oxygenation support in a postrenal transplant patient with graft failure |
| title_fullStr | Management of pulmonary alveolar proteinosis with whole lung lavage using extracorporeal membrane oxygenation support in a postrenal transplant patient with graft failure |
| title_full_unstemmed | Management of pulmonary alveolar proteinosis with whole lung lavage using extracorporeal membrane oxygenation support in a postrenal transplant patient with graft failure |
| title_short | Management of pulmonary alveolar proteinosis with whole lung lavage using extracorporeal membrane oxygenation support in a postrenal transplant patient with graft failure |
| title_sort | management of pulmonary alveolar proteinosis with whole lung lavage using extracorporeal membrane oxygenation support in a postrenal transplant patient with graft failure |
| topic | Double lumen tube; Extracorporeal membrane oxygenation; Pulmonary alveolar proteinosis; Venovenous; Whole lung lavage |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=2;spage=379;epage=382;aulast=Chauhan |
| work_keys_str_mv | AT sandeepchauhan managementofpulmonaryalveolarproteinosiswithwholelunglavageusingextracorporealmembraneoxygenationsupportinapostrenaltransplantpatientwithgraftfailure AT kamalpsharma managementofpulmonaryalveolarproteinosiswithwholelunglavageusingextracorporealmembraneoxygenationsupportinapostrenaltransplantpatientwithgraftfailure AT akshaykbisoi managementofpulmonaryalveolarproteinosiswithwholelunglavageusingextracorporealmembraneoxygenationsupportinapostrenaltransplantpatientwithgraftfailure AT rajupangeni managementofpulmonaryalveolarproteinosiswithwholelunglavageusingextracorporealmembraneoxygenationsupportinapostrenaltransplantpatientwithgraftfailure AT karanmadan managementofpulmonaryalveolarproteinosiswithwholelunglavageusingextracorporealmembraneoxygenationsupportinapostrenaltransplantpatientwithgraftfailure AT yogendraschauhan managementofpulmonaryalveolarproteinosiswithwholelunglavageusingextracorporealmembraneoxygenationsupportinapostrenaltransplantpatientwithgraftfailure |