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June 22, 1984, Vol 251, No. 24 >
ARTICLE | June 22, 1984

Venovenous Bypass With a Membrane Lung to Support Bilateral Lung Lavage FREE

Warren M. Zapol, MD; Roger Wilson, MD; Charles Hales, MD; David Fish, MD; Guillermo Castorena, MD; Alan Hilgenberg, MD; Deborah Quinn, RN, MS; Richard Kradin, MD
[+] Author Affiliations

Reprint requests to Department of Anesthesia, Massachusetts General Hospital, Boston, MA 02114 (Dr Zapol).


JAMA. 1984;251(24):3269-3271. doi:10.1001/jama.1984.03340480051028
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References

Partial venovenous cardiopulmonary bypass with a membrane oxygenator was used to exchange respiratory gases during and after bilateral lung lavage in a patient with severe hypoxemia caused by pulmonary alveolar proteinosis. The patient was unable to tolerate an attempt at lung lavage without bypass. Therefore, extracorporeal perfusion safely supported the patient's respiration for 32 hours, buying time to lavage each lung separately and to enable sufficient recovery of transpulmonary gas exchanging capacity.

(JAMA 1984;251:3269-3271)

REFERENCES

1 +
Rogers RM, Levin DC, Gray GA, et al:  Physiologic effects of bronchopulmonary lavage in alveolar proteinosis . Am Rev Respir Dis 1978;;118:255-264.
2 +
Selecky PA, Wasserman K, Benfield JR, et al:  The clinical and physiological effect of whole-lung lavage in pulmonary alveolar proteinosis: A ten-year experience . Ann Thorac Surg 1977;; 24:451-461.
3 +
Seard C, Wasserman K, Benfield JR, et al:  Simultaneous bilateral lung lavage (alveolar washing) using partial cardiopulmonary bypass . Am Rev Respir Dis 1970;;101:877-884.
4 +
Freedman AP, Pelias A, Johnston RF, et al:  Alveolar proteinosis lung lavage using partial cardiopulmonary bypass . Thorax 1981;;36:543-545.
5 +
Altose MD, Hicks RE, Edwards MW:  Extra-corporeal membrane oxygenation during bronchopulmonary lavage . Arch Surg 1976;;111:1148-1153.
6 +
Zapol WM, Snider MT, Schneider RC:  Extracorporeal membrane oxygenation for acute respiratory failure . Anesthesiology 1977;;46:272-285.
7 +
McEnany MT, Zapol WM, Seebacher J, et al:  Cannulation of the proximal aorta during long term membrane lung perfusion . J Thorac Cardiovasc Surg 1975;;70:631-643.
8 +
Cooper JD, Duffin J, Glynn MFX, et al:  Combination of membrane oxygenator support and pulmonary lavage for acute respiratory failure . J Thorac Cardiovasc Surg 1976;;71:304-308.
9 +
Kao D, Wasserman K, Costley D, et al:  Advances in the treatment of pulmonary alveolar proteinosis . Am Rev Respir Dis 1975;;111:361-363.
10 +
Vidone RA, Hoffman L, Hukill PB, et al:  The diagnosis of pulmonary alveolar proteinosis by sputum examination . Dis Chest 1966;;49:326-332.
11 +
Costello JF, Moriarty DC, Branthwaite MA, et al:  Diagnosis and management of alveolar proteinosis: The role of electron microscopy . Thorax 1975;;30:121-132.
12 +
Martin RJ, Coalson JJ, Rogers RM, et al:  Pulmonary alveolar proteinosis: The diagnosis by segmental lavage . Am Rev Respir Dis 1980;; 121:819-825.
13 +
Altose MD:  Pulmonary alveolar proteinosis , in Fishman AP, (ed): Pulmonary Diseases and Disorders . New York, McGraw-Hill Book Co, 1980;, pp 1341-1346.
14 +
Zapol WM, Snider MT, Hill JD, et al:  Extracorporeal membrane oxygenation in severe acute respiratory failure: A randomized prospective study . JAMA 1979;;242:2193-2196.
15 +
Zapol WM, Snider MT:  Pulmonary hypertension in severe acute respiratory failure . N Engl J Med 1977;;296:476-480.
16 +
Hill JD, O'Brien TG, Murray JD, et al:  Prolonged extracorporeal oxygenation for acute post-traumatic respiratory failure (shock-lung syndrome) . N Engl J Med 1972;;286:629-634.

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1 +
Rogers RM, Levin DC, Gray GA, et al:  Physiologic effects of bronchopulmonary lavage in alveolar proteinosis . Am Rev Respir Dis 1978;;118:255-264.
2 +
Selecky PA, Wasserman K, Benfield JR, et al:  The clinical and physiological effect of whole-lung lavage in pulmonary alveolar proteinosis: A ten-year experience . Ann Thorac Surg 1977;; 24:451-461.
3 +
Seard C, Wasserman K, Benfield JR, et al:  Simultaneous bilateral lung lavage (alveolar washing) using partial cardiopulmonary bypass . Am Rev Respir Dis 1970;;101:877-884.
4 +
Freedman AP, Pelias A, Johnston RF, et al:  Alveolar proteinosis lung lavage using partial cardiopulmonary bypass . Thorax 1981;;36:543-545.
5 +
Altose MD, Hicks RE, Edwards MW:  Extra-corporeal membrane oxygenation during bronchopulmonary lavage . Arch Surg 1976;;111:1148-1153.
6 +
Zapol WM, Snider MT, Schneider RC:  Extracorporeal membrane oxygenation for acute respiratory failure . Anesthesiology 1977;;46:272-285.
7 +
McEnany MT, Zapol WM, Seebacher J, et al:  Cannulation of the proximal aorta during long term membrane lung perfusion . J Thorac Cardiovasc Surg 1975;;70:631-643.
8 +
Cooper JD, Duffin J, Glynn MFX, et al:  Combination of membrane oxygenator support and pulmonary lavage for acute respiratory failure . J Thorac Cardiovasc Surg 1976;;71:304-308.
9 +
Kao D, Wasserman K, Costley D, et al:  Advances in the treatment of pulmonary alveolar proteinosis . Am Rev Respir Dis 1975;;111:361-363.
10 +
Vidone RA, Hoffman L, Hukill PB, et al:  The diagnosis of pulmonary alveolar proteinosis by sputum examination . Dis Chest 1966;;49:326-332.
11 +
Costello JF, Moriarty DC, Branthwaite MA, et al:  Diagnosis and management of alveolar proteinosis: The role of electron microscopy . Thorax 1975;;30:121-132.
12 +
Martin RJ, Coalson JJ, Rogers RM, et al:  Pulmonary alveolar proteinosis: The diagnosis by segmental lavage . Am Rev Respir Dis 1980;; 121:819-825.
13 +
Altose MD:  Pulmonary alveolar proteinosis , in Fishman AP, (ed): Pulmonary Diseases and Disorders . New York, McGraw-Hill Book Co, 1980;, pp 1341-1346.
14 +
Zapol WM, Snider MT, Hill JD, et al:  Extracorporeal membrane oxygenation in severe acute respiratory failure: A randomized prospective study . JAMA 1979;;242:2193-2196.
15 +
Zapol WM, Snider MT:  Pulmonary hypertension in severe acute respiratory failure . N Engl J Med 1977;;296:476-480.
16 +
Hill JD, O'Brien TG, Murray JD, et al:  Prolonged extracorporeal oxygenation for acute post-traumatic respiratory failure (shock-lung syndrome) . N Engl J Med 1972;;286:629-634.

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