Journal of Yeungnam Medical Science

Case report

Whole lung lavage using a rapid infusion system to treat a patient with pulmonary alveolar proteinosis: Seung Won Ra, Soon Eun Park, Hyung Kwan Lee, Il Sang Han, Se Hun Park; Yeungnam Univ J Med. 2020;37(1):67-72. Published online October 17, 2019; DOI: https://doi.org/10.12701/yujm.2019.00360

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Whole lung lavage (WLL) is a therapeutic procedure to remove accumulated material by infusing and draining the lungs with lavage fluid. This procedure has been regarded as the current standard of care to treat pulmonary alveolar proteinosis. However, the WLL protocol has not yet been standardized and the technique has been refined and modified a number of times. A rapid infusion system is a device used to infuse blood or other fluids at precise rates and normothermic conditions. This device is not typically used in WLL, which relies on the passive infusion of fluids using the gravitational force. However, in this study we performed WLL using a rapid infusion system, since we aimed to take advantage of its shorter operation time and greater degree of control over fluid volume and temperature. The patient’s symptoms improved without the occurrence of any complications.

Citations

Citations to this article as recorded by

Autoimmune Pulmonary Alveolar Proteinosis: A Review of Pathogenesis and Emerging Therapies
Akshay Mathavan, Akash Mathavan, Swaminathan Perinkulam Sathyanarayanan, Cormac McCarthy, Ali Ataya
Current Pulmonology Reports.2024; 13(3): 233. CrossRef
Whole-Lung Lavage—a Narrative Review of Anesthetic Management
Santiago M. Mata-Suarez, Agustina Castro-Lalín, Santiago Mc Loughlin, Juan De Domini, Juan C. Bianco
Journal of Cardiothoracic and Vascular Anesthesia.2022; 36(2): 587. CrossRef
Lung injury induced by different negative suction pressure in patients with pneumoconiosis undergoing whole lung lavage
Mingyuan Yang, Baoping Li, Bin Wang, Lei Li, Yurong Ji, Yunzhi Zhou, Rui Huang, Qinghao Cheng
BMC Pulmonary Medicine.2022;[Epub] CrossRef
Anesthetic management during whole-lung lavage using lung ultrasound in a patient with pulmonary alveolar proteinosis: a case report
Jae Wan Jung, Hyunho Lee, Jimi Oh
Yeungnam University Journal of Medicine.2021; 38(4): 374. CrossRef

Review Article

Nondestructive Neuroaugmentative Surgery for Intractable Cancer Pain: Seong-Ho Kim, Byung-Yon Choi, Soo-Ho Cho; Yeungnam Univ J Med. 2007;24(2 Suppl):S192-202. Published online December 31, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.2S.S192

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Abstract PDF: Pain is probably one of the most common cancer symptoms. In addition to being a major source of suffering and disability, cancer pain is extremely frightening for patients and their families. The authors propose to adjust the World Health Organization (WHO) pain management ladder from its current three-step approach to a more sophisticated five-step algorithm that includes physical and psychological modalities along the entire continuum of care and adds two more steps related to neuromodulative and neurodestructive procedures once the opioids fail. This review discusses the current surgical options for treating cancer pain, focusing on the continuous drug infusion pump currently available and briefly exploring some of the other surgical options for pain management. The introduction of intrathecal opioid administration for intractable cancer pain is considered as one of the most important breakthroughs in pain management. Morphine, the only opioid approved by FDA for intrathecal administration, has been increasingly utilized for this purpose.

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