bilateral whole lung lavage in pulmonary alveolar proteinosis – a retrospective study

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2014
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Abstract
Whole lung lavage (WLL) is the gold standard technique for the treatment of Pulmonary Alveolar Proteinosis (PAP). In this paper we evaluated and discuss bilateral WLL, namely the procedure work-up and the therapeutic efficacy.Six bilateral WLL performed through a careful adherence to a modified Royal Brompton Hospital (London) technique were carried out without major complications and were associated with clinical and functional improvement of the PAP patients submitted to this procedure.As there are benefits in terms of time, patient comfort and cost effectiveness compared to unilateral WLL, associated with the efficacy and safety observed, bilateral WLL seems to be a suitable first choice for therapeutic lavage in PAP patients. Resumo: A lavagem pulmonar total (LPT) é a técnica de referência para o tratamento da Proteinose Alveolar Pulmonar (PAP). Neste documento avaliamos e discutimos a LPT bilateral, nomeadamente o procedimento levado a cabo e a eficácia terapêutica.Foram executadas seis LPTs bilaterais, através da adesão cuidada a uma técnica modificada do Royal Brompton Hospital (Londres), executadas sem complicações de maior e foram associadas à melhoria clínica e funcional dos pacientes com PAP submetidos a este procedimento.Como existem benefícios em termos de tempo, conforto para o paciente e eficiência em termos de custos, comparando com uma LPT unilateral, associada à eficácia e segurança observadas, a LPT bilateral parece ser uma primeira escolha adequada para uma lavagem terapêutica em pacientes com PAP. Keywords: Pulmonary alveolar proteinosis, Whole lung lavage, Bilateral, Palavras-chave: Proteinose Alveolar Pulmonar, Lavagem Pulmonar Total, Bilateral
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silva2014revistabilateral Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;A. Silva;A. Moreto;C. Pinho;A. Magalhães;A. Morais;C. Fiuza
Journal the journal of applied psychology
Year 2014
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