bandage-green

Whole Lung Lavage

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lateral, arms at side on armboards
Time : 2-4 hours (long)
Blood Loss : Zero
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : Yes
Considerations : Arterial line, One-Lung Ventilation / Lung Isolation, Mechanical Circulatory Support

Anesthetic Approaches

1GETT, TIVA, Propofol Drip, Remifentanil Drip
2GETT, 1/2 MAC Gas
The Surgery

Selection and side - Whole lung lavage is offered for symptomatic hypoxemia from PAP , and less often for heavy dust exposure such as silicosis. The more affected lung is lavaged first so the better...

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