One-session bilateral sequential whole lung lavage (OSBSWLL) for the management of pulmonary alveolar proteinosis

Abstract Background Whole Lung Lavage (WLL) has been an important part in the management of Pulmonary Alveolar Proteinosis (PAP) since it improves radiologic and clinical parameters. Bilateral WLL is usually performed in two sessions on different days. Few case reports have described one-session bil...

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Autores principales:	Javier Diaz-Mendoza, Eduardo Celis Valdiviezo, Niral M. Patel, Michael J. Simoff
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/2b6581df1e9542b39a957482b58556e2
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spelling	oai:doaj.org-article:2b6581df1e9542b39a957482b58556e22021-11-14T12:37:25ZOne-session bilateral sequential whole lung lavage (OSBSWLL) for the management of pulmonary alveolar proteinosis10.1186/s12890-021-01734-w1471-2466https://doaj.org/article/2b6581df1e9542b39a957482b58556e22021-11-01T00:00:00Zhttps://doi.org/10.1186/s12890-021-01734-whttps://doaj.org/toc/1471-2466Abstract Background Whole Lung Lavage (WLL) has been an important part in the management of Pulmonary Alveolar Proteinosis (PAP) since it improves radiologic and clinical parameters. Bilateral WLL is usually performed in two sessions on different days. Few case reports have described one-session bilateral sequential lung lavage (OSBSWLL), and none have described ambulatory management (same-day discharge). Methods Demographic characteristics, physiologic parameters, procedure details and outcomes were retrospectively collected on consecutive patients who underwent OSBSWLL for PAP following an ambulatory protocol stablished in our institution. Results A total of 13 patients underwent 30 OSBSWLL (61.5% male; mean age 40). The mean SpO2 was 90% (IQR 9) and 94% (IQR 6), before and after OSBSWLL respectively. In 63.3% of cases, patients were discharged home the same day of procedure. Only in two cases (6.6%), patients required post-procedure prolonged mechanical ventilation (> 4 h) due to persistent hypoxia. Conclusions OSBSWLL can be performed with same-day discharge.Javier Diaz-MendozaEduardo Celis ValdiviezoNiral M. PatelMichael J. SimoffBMCarticleDiseases of the respiratory systemRC705-779ENBMC Pulmonary Medicine, Vol 21, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the respiratory system RC705-779
spellingShingle	Diseases of the respiratory system RC705-779 Javier Diaz-Mendoza Eduardo Celis Valdiviezo Niral M. Patel Michael J. Simoff One-session bilateral sequential whole lung lavage (OSBSWLL) for the management of pulmonary alveolar proteinosis
description	Abstract Background Whole Lung Lavage (WLL) has been an important part in the management of Pulmonary Alveolar Proteinosis (PAP) since it improves radiologic and clinical parameters. Bilateral WLL is usually performed in two sessions on different days. Few case reports have described one-session bilateral sequential lung lavage (OSBSWLL), and none have described ambulatory management (same-day discharge). Methods Demographic characteristics, physiologic parameters, procedure details and outcomes were retrospectively collected on consecutive patients who underwent OSBSWLL for PAP following an ambulatory protocol stablished in our institution. Results A total of 13 patients underwent 30 OSBSWLL (61.5% male; mean age 40). The mean SpO2 was 90% (IQR 9) and 94% (IQR 6), before and after OSBSWLL respectively. In 63.3% of cases, patients were discharged home the same day of procedure. Only in two cases (6.6%), patients required post-procedure prolonged mechanical ventilation (> 4 h) due to persistent hypoxia. Conclusions OSBSWLL can be performed with same-day discharge.
format	article
author	Javier Diaz-Mendoza Eduardo Celis Valdiviezo Niral M. Patel Michael J. Simoff
author_facet	Javier Diaz-Mendoza Eduardo Celis Valdiviezo Niral M. Patel Michael J. Simoff
author_sort	Javier Diaz-Mendoza
title	One-session bilateral sequential whole lung lavage (OSBSWLL) for the management of pulmonary alveolar proteinosis
title_short	One-session bilateral sequential whole lung lavage (OSBSWLL) for the management of pulmonary alveolar proteinosis
title_full	One-session bilateral sequential whole lung lavage (OSBSWLL) for the management of pulmonary alveolar proteinosis
title_fullStr	One-session bilateral sequential whole lung lavage (OSBSWLL) for the management of pulmonary alveolar proteinosis
title_full_unstemmed	One-session bilateral sequential whole lung lavage (OSBSWLL) for the management of pulmonary alveolar proteinosis
title_sort	one-session bilateral sequential whole lung lavage (osbswll) for the management of pulmonary alveolar proteinosis
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2b6581df1e9542b39a957482b58556e2
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One-session bilateral sequential whole lung lavage (OSBSWLL) for the management of pulmonary alveolar proteinosis

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