e-ISSN 2147-2475

Hzl Arama




Geleneksel Total Akcier Lavaj Tekniine Yeni Bir Yaklamn Uyguland Bir Pulmoner Alveolar Proteinozis Olgusu [Respir Case Rep]
Respir Case Rep. 2022; 11(1): 36-40 | DOI: 10.5505/respircase.2022.98470

Geleneksel Total Akcier Lavaj Tekniine Yeni Bir Yaklamn Uyguland Bir Pulmoner Alveolar Proteinozis Olgusu

Gksel Altnk1, Nilfer Yiit1, Beste Metin1, Merve Trkarslan1, lknur Hatice Akbudak2
1Pamukkale niversitesi, Gs Hastalklar Anabilim Dal, Denizli
2Pamukkale niversitesi, Anesteziyoloji ve Reanimasyon Anabilim Dal, Denizli

Pulmoner alveolar proteinozis, proteinler ve lipitlerden oluan yzey aktif maddenin alveollerde birikmesiyle karakterli nadir grlen bir interstisyel akcier hastaldr. Yarm asr akn sredir kullanlan ve gnmzde de altn standart tedavi kabul edilen Tam Akcier Lavaj (TAL) protokolleri merkezlere gre deimekte standart bir lavaj teknii bulunmamaktadr. Alveoler boluun mekanik ykamasnn esas olduu TAL uygulamalarmzda kullandmz manuel vibrasyon yntemi yerine kullanarak gzlemsel olarak daha iyi sonu aldmz, hastann gs kafesini gl ve ritmik hareketlerle titretiren, teknoloji gerektirmeyen bir yntemi bu olgu sunumunda tanmlamay amaladk. Bu olgu sunumumuzda ayrca, hipoksemi derinlemeden derlenme odasnda uygulanacak CPAP tedavisiyle youn bakm yatnn nleyebileceine dikkat ekmeyi amaladk. Sonuta olgu sunumumuz, TAL tekniine eklenmek zere tariflediimiz kolay eriilebilir ve uygulanabilir olan vibrasyon yntemiyle daha fazla akcier alannn lavaja katldn, postoperatif derlenme srasnda uygulanacak CPAP destei ile TAL sonras hastalarn youn bakma yatlarnn azalabilecei ynndeki gzlemlerimizi iermektedir.

Anahtar Kelimeler: Bronkoalveoler lavaj, srekli pozitif havayolu basnc, postural drenaj, Pulmoner Alveoler Proteinoz.

A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed

Gksel Altnk1, Nilfer Yiit1, Beste Metin1, Merve Trkarslan1, lknur Hatice Akbudak2
1Department of Chest Diseases, Pamukkale University, Denizli, Turkey
2Department of Anesthesiology and Reanimation, Pamukkale University, Denizli, Turkey

Pulmonary alveolar proteinosis is a rare interstitial lung disease that is characterized by an accumulation of surfactant composed of proteins and lipids in the alveoli. Whole Lung Lavage (WLL) protocols, which have been used for more than half a century and are still considered the optimum approach, vary according to centers, and there is no standard lavage technique. In this case report we describe a method that does not require technology in which the patient's chest is vibrated with strong and rhythmic movements, using it instead of the manual vibration method used in our WLL applications for the mechanical washing of the alveolar space. In this case report, we also draw attention to the fact that intensive care hospitalization can be prevented by CPAP treatment in the recovery room before hypoxemia deepens. In conclusion, our case report shows that more lung areas can be included in the lavage through the addition of the easily accessible and applicable vibration method that we describe to the WLL technique. The study also reports on our observations that CPAP support applied during postoperative recovery can reduce the hospitalization of patients in intensive care after WLL.

Keywords: Bronchoalveolar lavage, continuous positive airway pressure, postural drainage, Pulmonary Alveolar Proteinosis.

Olgunun Grnt Kesitleri




Gksel Altnk, Nilfer Yiit, Beste Metin, Merve Trkarslan, lknur Hatice Akbudak. A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed. Respir Case Rep. 2022; 11(1): 36-40

Sorumlu Yazar: Nilfer Yiit, Trkiye
Makale Dili: ngilizce
LookUs & Online Makale