The Use of High-Frequency Percussive Ventilation for Whole-Lung Lavage: A Case Report

A A Pract. 2018 Oct 15;11(8):205-207. doi: 10.1213/XAA.0000000000000778.

Abstract

Whole-lung lavage (WLL) remains the gold standard in the treatment of pulmonary alveolar proteinosis. However, anesthetic management during WLL can be challenging because of the risk of intraoperative hypoxemia and various cardiorespiratory complications of 1-lung ventilation. Here, we describe a novel strategy involving the application of high-frequency percussive ventilation using a volumetric diffusive respirator (VDR-4) during WLL in a 47-year-old woman with pulmonary alveolar proteinosis. Our observations suggest that high-frequency percussive ventilation is a potentially effective ventilation strategy during WLL that may reduce the risk of hypoxemia and facilitate lavage.

Publication types

  • Case Reports

MeSH terms

  • Bronchoalveolar Lavage*
  • Female
  • High-Frequency Ventilation / instrumentation
  • High-Frequency Ventilation / methods*
  • Humans
  • Middle Aged
  • Pulmonary Alveolar Proteinosis / therapy*