Journal Information
Vol. 15. Issue 1.
Pages 77-88 (January - February 2009)
Share
Share
Download PDF
More article options
Vol. 15. Issue 1.
Pages 77-88 (January - February 2009)
Artigo de Revisão/Review Article
Open Access
Lavagem pulmonar total – A propósito de quatro casos de proteinose alveolar
Whole lung lavage – Report of four cases of alveolar proteinosis
Visits
10559
M. Aguiar1,
,***
Corresponding author
m_aguiar@netcabo.pt

Correspondência: Margarida Aguiar Hospital de Santa Maria, CHLN Av. Egas Moniz, 1500 Lisboa
, P. Monteiro2,*, M.M. Marques3,**, S. Feijó4,*, J.M. Rosal4,*, R. Sotto-Mayor5,*, A. Bugalho de Almeida6,*
1 Interna do Internato Complementar de Pneumologia
2 Assistente Hospitalar de Pneumologia
3 Assistente Hospitalar Graduada de Anestesia
4 Assistente Hospitalar Graduado de Pneumologia
5 Chefe de Serviço de Pneumologia
6 Director do Serviço de Pneumologia do Hospital de Santa Maria
This item has received

Under a Creative Commons license
Article information
Resumo

A lavagem pulmonar é uma técnica desenvolvida na década de 60 do século xx com o intuito de remoção física de material proteináceo dos brônquios, em doentes com proteinose alveolar, levando a uma melhoria clínica e funcional. A técnica foi evoluindo e o que era inicialmente realizado com anestesia local a um segmento do pulmão é actualmente realizado sob anestesia geral, sequencialmente, a ambos os pulmões.

A presente revisão descreve a técnica de lavagem pulmonar total, a sua principal indicação, a proteinose alveolar e, a propósito, relatamos alguns dados relativos à experiência do nosso serviço, onde a realizam com regularidade desde 2002.

Rev Port Pneumol 2009; XV (1): 77-88

Palavras-chave:
Lavagem pulmonar total
proteinose alveolar
Abstract

Whole lung lavage is a technique that was developed in the 1960s with the purpose of removing lipoproteinaceous material that accumulates in the bronchi of patients with alveolar proteinosis, leading to clinical and functional improvement. There has been an evolution in the technique; initially it was performed under local anesthesia to each segment of the lung and currently it is performed under general anesthesia sequentially to both lungs.

This review describes the whole lung lavage, its major indication, alveolar proteinosis and some data on the experience of our hospital.

Rev Port Pneumol 2009; XV (1): 77-88

Key-words:
Whole lung lavage
alveolar proteinosis
Full text is only aviable in PDF
Bibliografia
[1.]
J. Ramirez-R, R.F. Kieffer Jr., W.C. Ball Jr..
Bronchopulmonary Lavage in Man.
Ann Intern Med, 63 (1965), pp. 819-821
[2.]
J. Ramirez-R.
Bronchopulmonary lavage: new techniques and observations.
Chest, 50 (1966), pp. 581-588
[3.]
S.H. Rosen, B. Castleman, A.A. Liebow.
Pulmonary alveolar proteinosis.
N Engl J Med, 258 (1958), pp. 1123-1142
[4.]
K.J. Menard.
Whole lung lavage in the treatment of pulmonary alveolar proteinosis.
Jour of PeriAnesthesia Nurs, 20 (2005), pp. 114-126
[5.]
H. Takahashi, H. Sano, H. Chiba, Y. Kuroki.
Current pulmonary surfactant proteins a and d: innate immune functions and biomarkers for lung diseases.
Pharmaceutical Design, 12 (2006), pp. 589-598
[6.]
J. Presneill, K. Nakata, Y. Inoue, J.F. Seymour.
Pulmonary alveolar proteinosis.
Clin Chest Med, 25 (2004), pp. 593-613
[7.]
B.M. Wang, E.J. Stern, R.A. Schmidt, D.J. Pierson.
Diagnosing pulmonary alveolar proteinosis – A review and an update.
Chest, 111 (1997), pp. 460-466
[8.]
B.C. Trapnell, J.A. Whitsett, K. Nakata.
Pulmonary alveolar proteinosis.
N Engl J Med, 349 (2003), pp. 2527-2539
[9.]
S.B. Venkateshiah, M.J. Thomassen, M.S. Kavuru.
Pulmonary alveolar proteinosis – Clinical manifestations and optimal treatment strategies.
Treat Respir Med, 3 (2004), pp. 217-227
[10.]
P.L. Shah, D. Hansell, P.R. Lawson, K.B.M. Reid, C. Morgan.
Pulmonary alveolar proteinosis: clinical aspects and current concepts on pathogenesis.
Thorax, 55 (2000), pp. 67-77
[11.]
Autor desconhecido. Bronchopulmonary lavage.
Br Med J, 2 (1979), pp. 690
[12.]
Morgan C. Technical details of whole Lung lavage at Royal Brompton Hospital. Disponível em http://www.rbh.nthames.nhs.uk/a⁣/tech_pap.htm.

Serviços de Pneumologia- Hospital de Santa Maria, CHLN, EPE, Lisboa, Portugal

Serviços de Pneumologia e Anestesia- Hospital de Santa Maria, CHLN, EPE, Lisboa, Portugal

Copyright © 2009. Sociedade Portuguesa de Pneumologia/SPP
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?