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Clinics and Practice
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10.4081/cp.2011.e53
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Lobar Flexible Fiberoptic Lung Lavage: Therapeutic Benefit in Severe Respiratory Failure in Pulmonary Alveolar Proteinosis and Influenza A H1N1 Pneumonia

by
Antonello Nicolini
1,* and
Cornelius Barlascini
2
1
Division of Respiratory Diseases, Hospital of Sestri Levante, Italy
2
Forensic Medicine Unit, Chiavari, Italy
*
Author to whom correspondence should be addressed.
Clin. Pract. 2011, 1(3), e53; https://doi.org/10.4081/cp.2011.e53
Submission received: 5 April 2011 / Revised: 5 April 2011 / Accepted: 21 June 2011 / Published: 5 July 2011

Abstract

Lobar fiberoptic lung lavage is a well-known procedure used in primary pulmonary alveolar proteinosis (PAP); the use of this procedure has increased in the recent years. This procedure has also been used in other pulmonary diseases such as desquamative interstitial pneumonia with good results. We describe a case of extremely severe respiratory failure due to concurrence of PAP and Influenza A H1N1 virus pneumonia which resolved with the help of this procedure. The patient, a 41- year-old woman, needed less mechanical ventilation after undergoing lobar fiberoptic bronchoscopic lavage. Moreover, a rapid and progressive improvement in the computed tomography of the lungs was observed. Flexibile fiberoptic bronchoscopic lobar lavage is a simple, safe procedure used not only in milder disease, but also in particular severe cases in which the physiological derangement of whole lung lavage would not be tolerated by patient or when extra-corporeal membrane oxygenation is not available.
Keywords: lexible fiberoptic lobar bronchoscopic lavage; pulmonary alveolar proteinosis; influenza A H1N1 pneumonia lexible fiberoptic lobar bronchoscopic lavage; pulmonary alveolar proteinosis; influenza A H1N1 pneumonia

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MDPI and ACS Style

Nicolini, A.; Barlascini, C. Lobar Flexible Fiberoptic Lung Lavage: Therapeutic Benefit in Severe Respiratory Failure in Pulmonary Alveolar Proteinosis and Influenza A H1N1 Pneumonia. Clin. Pract. 2011, 1, e53. https://doi.org/10.4081/cp.2011.e53

AMA Style

Nicolini A, Barlascini C. Lobar Flexible Fiberoptic Lung Lavage: Therapeutic Benefit in Severe Respiratory Failure in Pulmonary Alveolar Proteinosis and Influenza A H1N1 Pneumonia. Clinics and Practice. 2011; 1(3):e53. https://doi.org/10.4081/cp.2011.e53

Chicago/Turabian Style

Nicolini, Antonello, and Cornelius Barlascini. 2011. "Lobar Flexible Fiberoptic Lung Lavage: Therapeutic Benefit in Severe Respiratory Failure in Pulmonary Alveolar Proteinosis and Influenza A H1N1 Pneumonia" Clinics and Practice 1, no. 3: e53. https://doi.org/10.4081/cp.2011.e53

APA Style

Nicolini, A., & Barlascini, C. (2011). Lobar Flexible Fiberoptic Lung Lavage: Therapeutic Benefit in Severe Respiratory Failure in Pulmonary Alveolar Proteinosis and Influenza A H1N1 Pneumonia. Clinics and Practice, 1(3), e53. https://doi.org/10.4081/cp.2011.e53

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