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Vol. 15. Issue 1.
Pages 77-88 (January - February 2009)
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Vol. 15. Issue 1.
Pages 77-88 (January - February 2009)
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Lavagem pulmonar total – A propósito de quatro casos de proteinose alveolar
Whole lung lavage – Report of four cases of alveolar proteinosis
Visits
1445
M. Aguiar1,
,
, 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
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Abstract
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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.

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.

Key-words:
Whole lung lavage
alveolar proteinosis
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Bibliografia
[1.]
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Bronchopulmonary Lavage in Man.
Ann Intern Med, 63 (1965), pp. 819-821
[2.]
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Bronchopulmonary lavage: new techniques and observations.
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Pulmonary alveolar proteinosis.
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Current pulmonary surfactant proteins a and d: innate immune functions and biomarkers for lung diseases.
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Pulmonary alveolar proteinosis.
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[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
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Pulmonary alveolar proteinosis: clinical aspects and current concepts on pathogenesis.
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[11.]
Autor desconhecido. Bronchopulmonary lavage. Br Med J 1979: 22; 2(6192): 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

Anestesia – Hospital de Santa Maria, CHLN, EPE, Lisboa, Portugal

Copyright © 2009. Sociedade Portuguesa de Pneumologia
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