Arima H, Nakamura T, Sobue K
Department of Anesthesia and Critical Care, Okazaki City Hospital, Koryuji-cho, Okazaki, Japan.
Anaesth Intensive Care. 2005 Apr;33(2):274-6. doi: 10.1177/0310057X0503300221.
Simple manual ventilation facilitates removal of intra-alveolar accumulations. High-frequency jet ventilation can be performed through a narrow lumen like that of a fibreoptic bronchoscope. Accordingly, we expected that high frequency jet ventilation through a fibreoptic bronchoscope channel would facilitate lung lavage, and we developed a new bronchoalveolar lavage system, in which high-frequency jet ventilation through the channel of a fibreoptic bronchoscope was combined with conventional bronchoalveolar lavage. We describe a case in which this new lavage system, unlike conventional bronchoalveolar lavage, successfully removed the lipid material in the alveoli associated with pulmonary alveolar proteinosis.
