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The Korean Journal of Critical Care Medicine > Volume 27(3); 2012 > Article
The Korean Journal of Critical Care Medicine 2012;27(3): 173-178.
doi: https://doi.org/10.4266/kjccm.2012.27.3.173
폐포단백증 환자에서 전폐세척술을 위한 Propofol-Remifentanil 마취 관리
이지현ㆍ정찬종ㆍ오지나ㆍ고병주ㆍ최소론
동아대학교 의과대학 마취통증의학교실
Anesthetic Management of Whole-Lung Lavage Using Propofol-Remifentanil in a Patient with Pulmonary Alveolar Proteinosis
Ji Hyeon Lee, Chan Jong Chung, Ji Na Oh, Byung Ju Ko, So Ron Choi
Department of Anesthesiology and Pain Medicine, College of Medicine, Dong-A University, Busan, Korea. cjchung@dau.ac.kr
ABSTRACT
Pulmonary alveolar proteinosis (PAP) is characterized by the progressive accumulation of phospholipids and proteins within the alveolar sacs without producing an inflammatory response. Whole-lung lavage (WLL) is performed as the standard therapy for this disease because it serves to wash out the proteinaceous material from the alveoli. In this case, we performed sequential WLL using propofol-remifentanil, which is not related to hypoxic pulmonary vasoconstriction during one-lung ventilation. The patient's symptoms and radiologic findings showed improvement without the occurrence of any specific complications. Therefore, we report a case of anesthetic management of WLL performed repeatedly for a patient with recurrent PAP.
Key Words: hypoxic pulmonary vasoconstriction; propofol-remifentanil; pulmonary alveolar proteinosis; whole-lung lavage
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