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Anesth Analg 1977; 56:661-668
© 1977 International Anesthesia Research Society
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Anesthetic Management of Pulmonary Lavage in Adults

MAURICE LIPPMANN, MD*, and MARTIN S. MOK, MD{dagger}

*Associate Professor and Chief, Division of Cardiovascular Anesthesia, Department of Anesthesiology, UCLA School of Medicine, Harbor General Hospital Campus, Torrance, California 90509. {dagger}Assistant Professor and Staff Physician, Department of Anesthesiology, UCLA School of Medicine, Harbor General Hospital Campus, Torrance, California 90509.

Abstract

A 6-year experience in the anesthetic management of 34 successful whole-lung lavages on 11 adult patients with pulmonary alveolar proteinosis is described. All patients were radio-graphically, physiologically, and symptomatically improved after the procedures.

The anesthetic protocol for lung lavage includes: (1) unilateral whole-lung lavages 2 to 4 days apart; (2) general anesthesia with the placement of a Carlens tube; (3) isotonic saline as the lavage solution; (4) mechanical chest percussion during lavage; (5) serial arterial blood-gas determination and measurement of lung compliance in the intraoperative and immediate postlavage period.

The authors conclude that whole-lung lavage is a safe and effective palliative procedure in pulmonary alveolar proteinosis and in the treatment of patients with pulmonary disease, such as cystic fibrosis or asthma, in which filling of the lung acini by liquid or solid material impairs oxygenation of the pulmonary capillary blood.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1977 by the International Anesthesia Research Society.