Lobar flexible fiberoptic lung lavage: therapeutic benefit in severe respiratory failure in pulmonary alveolar proteinosis and influenza A H1N1 pneumonia

  • Antonello Nicolini | antonellonicolini@gmail.com Division of Respiratory Diseases, Hospital of Sestri Levante, Italy.
  • Cornelius Barlascini Forensic Medicine Unit, Chiavari, Italy.

Abstract

Lobar fiberoptic lung lavage is a well-known procedure used in primary pulmonary alveolar proteinosis (PAP); the use of this procedure has increased in the recent years. This procedure has also been used in other pulmonary diseases such as desquamative interstitial pneumonia with good results. We describe a case of extremely severe respiratory failure due to concurrence of PAP and Influenza A H1N1 virus pneumonia which resolved with the help of this procedure. The patient, a 41- year-old woman, needed less mechanical ventilation after undergoing lobar fiberoptic bronchoscopic lavage. Moreover, a rapid and progressive improvement in the computed tomography of the lungs was observed. Flexibile fiberoptic bronchoscopic lobar lavage is a simple, safe procedure used not only in milder disease, but also in particular severe cases in which the physiological derangement of whole lung lavage would not be tolerated by patient or when extra-corporeal membrane oxygenation is not available.

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Author Biography

Antonello Nicolini, Division of Respiratory Diseases, Hospital of Sestri Levante
department of respiratory medicine
Published
2011-07-05
Section
Case Reports
Keywords:
lexible fiberoptic lobar bronchoscopic lavage, pulmonary alveolar proteinosis, influenza A H1N1 pneumonia.
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How to Cite
Nicolini, A., & Barlascini, C. (2011). Lobar flexible fiberoptic lung lavage: therapeutic benefit in severe respiratory failure in pulmonary alveolar proteinosis and influenza A H1N1 pneumonia. Clinics and Practice, 1(3), e53. https://doi.org/10.4081/cp.2011.e53