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Korean J Crit Care Med > Volume 28(2); 2013 > Article
Korean Journal of Critical Care Medicine 2013;28(2): 133-136. doi: https://doi.org/10.4266/kjccm.2013.28.2.133
전폐세척중 발생한 기도 폐쇄와 동반된 동맥압 파형의 변화
Airway Obstruction and Flattening of Arterial Pressure Wave during Whole Lung Lavage: A Case Report
Hyun Jung Koh, Sung Jin Hong, Ho Kyung Song, Ji Young Lee, Jin Young Chon, Ho Sik Moon, Yu Mi Ju, Hyung Mook Lee
1Department of Anesthesiology and Pain Medicine, Yeouido St. Mary's Hospital, Seoul, Korea. hongs@catholic.ac.kr
2Department of Anesthesiology and Pain Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea.
Whole lung lavage (WLL) is a challenging procedure; because lavage fluid may perturb the respiratory and hemodynamic systems. We observed severe airway obstruction and flattening arterial pressure wave during WLL for treatment of pulmonary alveolar proteinosis. The aim of this case report is to discuss the anesthetic requirement in order to prevent bronchospasm during WLL. Furthermore, we discuss the potential of lavage fluid to cause airway obstruction and decrease cardiac outflow through the mass effect.
Key Words: bronchospasm; lavage; pulmonary alveolar proteinosis
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