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Therapeutic bronchoalveolar lavage for pulmonary alveolar proteinosis in an infant
Author(s) -
TROJE CHRISTIAN,
MOUNSAVENG SALEM,
DUBOIS MARIECLAUDE,
DELORME MONIQUE,
GRIMFELD ALAIN,
MURAT ISABELLE
Publication year - 1994
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.1994.tb00140.x
Subject(s) - medicine , bronchoalveolar lavage , anesthesia , pulmonary alveolar proteinosis , saline , lung , general anaesthesia , endotracheal tube , surgery , intubation
Summary A 2‐year‐old male infant suffering from pulmonary alveolar proteinosis was treated by four unilateral bronchoalveolar lavages (BAL) in a 12‐month period. The lavages were performed under general anaesthesia and controlled ventilation by introducing a fibrescope (3.6 mm external diameter) though either a tracheal tube (4.5 mm internal diameter) or a rigid bronchoscope. Each lobe of the lung was successively catheterized and the segments were washed separately with prewarmed saline solution injected through the side channel of the fibrescope. The described technique allows to perform BAL in safe conditions (i.e., controlled airways) in infants weighing more than 9 kg.