Lavado broncoalveolar bilateral secuencial: caso clínico, método y discusión

Campo, R. Fernandez Del; Sánchez, Andrea; Corral, Gloria Francisco; Portillo, Isidro Prieto del; Rodríguez, Esteban Pérez; Rodriguez, Yvette

doi:10.1016/s0210-5691(07)74846-5

Cited by 3 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is when each lung is selectively intubated at a time and a large volume lavage is performed one lung at a time until the saline lavage return becomes clear [ 1 , 2 ]. More recently, simultaneous use of extracorporeal membrane oxygenation (ECMO) enabling sequential lavage of both lungs has been described [ 17 ]. Segmental lung lavage has been described for a patient who was thought to be a poor candidate for WLL due to severe hypoxia [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Pulmonary alveolar proteinosis following severe COVID - 19 infection: A case report

Martin,

Kaushik,

Bajantri

2024

Respiratory Medicine Case Reports

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Pulmonary alveolar proteinosis following severe COVID - 19 infection: A case report

Martin,

Kaushik,

Bajantri

2024

Respiratory Medicine Case Reports

View full text Add to dashboard Cite

Alveolar Proteinosis in COVID-19: Clinical Case

Bote

Morueco

Arcos

et al. 2022

Case Reports in Pulmonology

View full text Add to dashboard Cite

Pulmonary alveolar proteinosis (PAP) is a rare, diffuse lung disease characterized by accumulation of lipoprotein in lung surfactant in the alveolar space and terminal bronchioles, leading to impaired gas exchange and arterial hypoxemia. We present the case of a 51-year-old woman who was admitted with a diagnosis of severe SARS-CoV-2 pneumonia. Her condition did not improve with corticosteroids. A chest CT scan revealed ground-glass opacities in all lung lobes, with septal thickening. A differential diagnosis was proposed with other diseases. Bronchoscopy revealed milky bronchoalveolar lavage fluid, and staining with periodic acid–Schiff was positive, thus indicating PAP. Therefore, the patient underwent whole lung lavage, which led to clinical, radiological, and functional improvement. In the context of the COVID-19 pandemic, differential diagnosis ensures that appropriate attention is given to less prevalent entities such as PAP.

show abstract

Haemodynamic, Biochemical and Respiratory Implications of total Bronchoalveolar Lavage in Pulmonary Alveolar Proteinosis

María Nieves Balaguer,

Ester Villareal,

Begoña Balerdi

et al. 2023

Arch Case Rep

View full text Add to dashboard Cite

Introduction: Total bronchoalveolar lavage (BAL) continues to be the treatment of choice for alveolar proteinosis (AP), facilitating the removal of lipoprotein material. The purpose of this article is to evaluate the impact of haemodynamic, biochemical, and respiratory parameters, as well as the complications and evolution of patients undergoing this procedure. Methods: Retrospective, observational, and descriptive study of BAL. The technique was performed in the Intensive Care Unit. Blood gases, blood pressure, central venous pressure, body temperature, and fluid balance were analyzed. Results: Including eight patients, thirty-eight BAL were performed from 2008 to 2021. The mean instillation of saline at each session was 13.464 ± 4.002 ml per lung. No significant changes were observed before and after BAL in heart rate and blood pressure. Mean central venous pressure increased by 2.59 cm H20. The pO2 initial was 126 mmHg with a final mean of 69.7 mmHg, with statistical significance. The pCO2, HCO3 and pH parameters remained stable. Complications were observed during fifteen of the thirty-eight BAL (nine with arterial hypotension, three with glottic oedema, one acute pulmonary oedema, one pneumothorax, and one cardiorespiratory arrest). In terms of evolution, one case had a clinical-radiological resolution, one case of exits, one required lung transplantation, and the remaining five remained stable. Conclusion: This study demonstrates that the procedure, is well tolerated haemodynamically and that the biochemical alterations to which the patient is subjected are not compromised. With few complications and good results in delaying the progression of AP.

show abstract

Lavado broncoalveolar bilateral secuencial: caso clínico, método y discusión

Cited by 3 publications

References 17 publications

Pulmonary alveolar proteinosis following severe COVID - 19 infection: A case report

Pulmonary alveolar proteinosis following severe COVID - 19 infection: A case report

Alveolar Proteinosis in COVID-19: Clinical Case

Haemodynamic, Biochemical and Respiratory Implications of total Bronchoalveolar Lavage in Pulmonary Alveolar Proteinosis

Contact Info

Product

Resources

About