Yıl: 2022 Cilt: 11 Sayı: 1 Sayfa Aralığı: 36 - 40 Metin Dili: İngilizce DOI: 10.5505/respircase.2022.98470 İndeks Tarihi: 12-06-2022

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

Öz:
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 accord-ing to centers, and there is no standard lavage tech-nique. 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 hospitali-zation can be prevented by CPAP treatment in the recovery room before hypoxemia deepens. In conclu-sion, 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 ap-plied during postoperative recovery can reduce the hospitalization of patients in intensive care after WLL.
Anahtar Kelime:

Geleneksel Total Akciğer Lavaj Tekniğine Yeni Bir Yaklaşımın Uygulandığı Bir Pulmoner Alveolar Proteinozis Olgusu

Öz:
Pulmoner alveolar proteinozis, proteinler ve lipitler-den oluşan yüzey aktif maddenin alveollerde birikme-siyle karakterli nadir görülen bir interstisyel akciğer hastalığıdır. Yarım asrı aşkın süredir kullanılan ve günümüzde de altın standart tedavi kabul edilen Tam Akciğer Lavajı (TAL) protokolleri merkezlere göre değişmekte standart bir lavaj tekniği bulunmamakta-dır. Alveoler boşluğun mekanik yıkamasının esas olduğu TAL uygulamalarımızda kullandığımız manuel vibrasyon yöntemi yerine kullanarak gözlemsel olarak daha iyi sonuç aldığımız, hastanın göğüs kafesini güçlü ve ritmik hareketlerle titreştiren, teknoloji gerek-tirmeyen bir yöntemi bu olgu sunumunda tanımlama-yı amaçladık. Bu olgu sunumumuzda ayrıca, hipok-semi derinleşmeden derlenme odasında uygulanacak CPAP tedavisiyle yoğun bakım yatışının önleyebilece-ğine dikkat çekmeyi amaçladık. Sonuçta olgu sunu-mumuz, TAL tekniğine eklenmek üzere tariflediğimiz kolay erişilebilir ve uygulanabilir olan vibrasyon yön-temiyle daha fazla akciğer alanının lavaja katıldığını, postoperatif derlenme sırasında uygulanacak CPAP desteği ile TAL sonrası hastaların yoğun bakıma yatış-larının azalabileceği yönündeki gözlemlerimizi içer-mektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA ALTINIŞIK G, YİĞİT N, METİN B, TÜRKASLAN M, AKBUDAK İ (2022). A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed. , 36 - 40. 10.5505/respircase.2022.98470
Chicago ALTINIŞIK Goksel,YİĞİT Nilufer,METİN Beste,TÜRKASLAN Merve,AKBUDAK İlknur Hatice A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed. (2022): 36 - 40. 10.5505/respircase.2022.98470
MLA ALTINIŞIK Goksel,YİĞİT Nilufer,METİN Beste,TÜRKASLAN Merve,AKBUDAK İlknur Hatice A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed. , 2022, ss.36 - 40. 10.5505/respircase.2022.98470
AMA ALTINIŞIK G,YİĞİT N,METİN B,TÜRKASLAN M,AKBUDAK İ A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed. . 2022; 36 - 40. 10.5505/respircase.2022.98470
Vancouver ALTINIŞIK G,YİĞİT N,METİN B,TÜRKASLAN M,AKBUDAK İ A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed. . 2022; 36 - 40. 10.5505/respircase.2022.98470
IEEE ALTINIŞIK G,YİĞİT N,METİN B,TÜRKASLAN M,AKBUDAK İ "A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed." , ss.36 - 40, 2022. 10.5505/respircase.2022.98470
ISNAD ALTINIŞIK, Goksel vd. "A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed". (2022), 36-40. https://doi.org/10.5505/respircase.2022.98470
APA ALTINIŞIK G, YİĞİT N, METİN B, TÜRKASLAN M, AKBUDAK İ (2022). A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed. Respiratory Case Reports, 11(1), 36 - 40. 10.5505/respircase.2022.98470
Chicago ALTINIŞIK Goksel,YİĞİT Nilufer,METİN Beste,TÜRKASLAN Merve,AKBUDAK İlknur Hatice A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed. Respiratory Case Reports 11, no.1 (2022): 36 - 40. 10.5505/respircase.2022.98470
MLA ALTINIŞIK Goksel,YİĞİT Nilufer,METİN Beste,TÜRKASLAN Merve,AKBUDAK İlknur Hatice A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed. Respiratory Case Reports, vol.11, no.1, 2022, ss.36 - 40. 10.5505/respircase.2022.98470
AMA ALTINIŞIK G,YİĞİT N,METİN B,TÜRKASLAN M,AKBUDAK İ A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed. Respiratory Case Reports. 2022; 11(1): 36 - 40. 10.5505/respircase.2022.98470
Vancouver ALTINIŞIK G,YİĞİT N,METİN B,TÜRKASLAN M,AKBUDAK İ A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed. Respiratory Case Reports. 2022; 11(1): 36 - 40. 10.5505/respircase.2022.98470
IEEE ALTINIŞIK G,YİĞİT N,METİN B,TÜRKASLAN M,AKBUDAK İ "A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed." Respiratory Case Reports, 11, ss.36 - 40, 2022. 10.5505/respircase.2022.98470
ISNAD ALTINIŞIK, Goksel vd. "A Case of Pulmonary Alveolar Proteinosis in which a New Approach to the Traditional Whole Lung Lavage Technique is Preformed". Respiratory Case Reports 11/1 (2022), 36-40. https://doi.org/10.5505/respircase.2022.98470