Fast-Track Extubation in a Patient Undergoing Whole Lung Lavage: A Case Report

Pulmonary alveolar proteinosis (PAP) is a rare pulmonary pathology characterized by the accumulation of surfactant within type II alveolar epithelial cells. Whole lung lavage is the standard treatment for pulmonary alveolar proteinosis involving a large volume of fluid is infused into one lung and s...

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Main Authors: Gade Sandeep, Subrata K. Singha, Anil Gupta, Keerthi Chinnadurai, Harishchandra Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Annals of Cardiac Anaesthesia
Subjects:
Online Access:https://journals.lww.com/10.4103/aca.aca_163_24
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author Gade Sandeep
Subrata K. Singha
Anil Gupta
Keerthi Chinnadurai
Harishchandra Gupta
author_facet Gade Sandeep
Subrata K. Singha
Anil Gupta
Keerthi Chinnadurai
Harishchandra Gupta
author_sort Gade Sandeep
collection DOAJ
description Pulmonary alveolar proteinosis (PAP) is a rare pulmonary pathology characterized by the accumulation of surfactant within type II alveolar epithelial cells. Whole lung lavage is the standard treatment for pulmonary alveolar proteinosis involving a large volume of fluid is infused into one lung and subsequently retrieved while the other lung is remains ventilated. Fast-tracking a patient undergoing whole lung lavage requires vigilant monitoring of arterial blood gases, fluid status, and respiratory mechanics. We report a case of a patient who underwent whole lung lavage for PAP, where early extubation was performed, avoiding the complications associated with prolonged mechanical ventilation.
format Article
id doaj-art-759f9e29a272425e84a14303add3836e
institution Kabale University
issn 0971-9784
0974-5181
language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Annals of Cardiac Anaesthesia
spelling doaj-art-759f9e29a272425e84a14303add3836e2025-02-10T10:46:42ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97840974-51812025-01-01281808310.4103/aca.aca_163_24Fast-Track Extubation in a Patient Undergoing Whole Lung Lavage: A Case ReportGade SandeepSubrata K. SinghaAnil GuptaKeerthi ChinnaduraiHarishchandra GuptaPulmonary alveolar proteinosis (PAP) is a rare pulmonary pathology characterized by the accumulation of surfactant within type II alveolar epithelial cells. Whole lung lavage is the standard treatment for pulmonary alveolar proteinosis involving a large volume of fluid is infused into one lung and subsequently retrieved while the other lung is remains ventilated. Fast-tracking a patient undergoing whole lung lavage requires vigilant monitoring of arterial blood gases, fluid status, and respiratory mechanics. We report a case of a patient who underwent whole lung lavage for PAP, where early extubation was performed, avoiding the complications associated with prolonged mechanical ventilation.https://journals.lww.com/10.4103/aca.aca_163_24alveolar proteinosisfast trackingwhole lung lavage
spellingShingle Gade Sandeep
Subrata K. Singha
Anil Gupta
Keerthi Chinnadurai
Harishchandra Gupta
Fast-Track Extubation in a Patient Undergoing Whole Lung Lavage: A Case Report
Annals of Cardiac Anaesthesia
alveolar proteinosis
fast tracking
whole lung lavage
title Fast-Track Extubation in a Patient Undergoing Whole Lung Lavage: A Case Report
title_full Fast-Track Extubation in a Patient Undergoing Whole Lung Lavage: A Case Report
title_fullStr Fast-Track Extubation in a Patient Undergoing Whole Lung Lavage: A Case Report
title_full_unstemmed Fast-Track Extubation in a Patient Undergoing Whole Lung Lavage: A Case Report
title_short Fast-Track Extubation in a Patient Undergoing Whole Lung Lavage: A Case Report
title_sort fast track extubation in a patient undergoing whole lung lavage a case report
topic alveolar proteinosis
fast tracking
whole lung lavage
url https://journals.lww.com/10.4103/aca.aca_163_24
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AT subrataksingha fasttrackextubationinapatientundergoingwholelunglavageacasereport
AT anilgupta fasttrackextubationinapatientundergoingwholelunglavageacasereport
AT keerthichinnadurai fasttrackextubationinapatientundergoingwholelunglavageacasereport
AT harishchandragupta fasttrackextubationinapatientundergoingwholelunglavageacasereport