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Whole-Lung Lavage in Alveolar Proteinosis by a Modified Lavage Technique

Roland Bingisser; Vladimir Kaplan; Andreas Zollinger; Erich W. Russi
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Affiliations: From the Pulmonary Division, Department of Internal Medicine, University Hospital Zurich, Zurich, Switzerland,  From the Institute of Anesthesiology, University Hospital Zurich, Zurich, Switzerland

Affiliations: From the Pulmonary Division, Department of Internal Medicine, University Hospital Zurich, Zurich, Switzerland,  From the Institute of Anesthesiology, University Hospital Zurich, Zurich, Switzerland


1998 by the American College of Chest Physicians


Chest. 1998;113(6):1718-1719. doi:10.1378/chest.113.6.1718
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Abstract

Whole-lung lavage is the only efficient treatment in pulmonary alveolar proteinosis. A 36-year-old woman with severe pulmonary alveolar proteinosis confirmed by video-assisted thoracoscopic lung biopsies underwent repetitive whole-lung lavages without improvement. A modified technique consisting of manual ventilation between instillation and aspiration of half the amount of saline used for conventional lavage was applied. Impressive clinical and functional improvement occurred and persisted for 1 year. We believe that the amelioration can be attributed to the technique described above.


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