Dilutional acidosis during whole lung lavage under general anesthesia due to excessive absorption of normal saline.
Dilutional acidosis
Pulmonary alveolar proteinosis
Whole lung lavage
Journal
JA clinical reports
ISSN: 2363-9024
Titre abrégé: JA Clin Rep
Pays: Germany
ID NLM: 101682121
Informations de publication
Date de publication:
14 Apr 2022
14 Apr 2022
Historique:
received:
19
01
2022
accepted:
04
04
2022
revised:
30
03
2022
entrez:
14
4
2022
pubmed:
15
4
2022
medline:
15
4
2022
Statut:
epublish
Résumé
Whole lung lavage (WLL) is an effective therapy for pulmonary alveolar proteinosis. We report a rare dilutional acidosis following WLL in a female patient. Under general anesthesia, a left-sided double-lumen tube was inserted with its bronchial lumen connected to the saline delivery system. Preoperatively, arterial blood gases were within normal limits. During 14 l of fluid was instilled into the lung for 2.5 hours, a decrease in pH, K Inappropriate irrigating fluid pressure might lead to absorption of normal saline. Continuous monitoring and careful observation during WLL can help prevent intraoperative dilutional acidosis.
Sections du résumé
BACKGROUND
BACKGROUND
Whole lung lavage (WLL) is an effective therapy for pulmonary alveolar proteinosis. We report a rare dilutional acidosis following WLL in a female patient.
CASE PRESENTATION
METHODS
Under general anesthesia, a left-sided double-lumen tube was inserted with its bronchial lumen connected to the saline delivery system. Preoperatively, arterial blood gases were within normal limits. During 14 l of fluid was instilled into the lung for 2.5 hours, a decrease in pH, K
CONCLUSIONS
CONCLUSIONS
Inappropriate irrigating fluid pressure might lead to absorption of normal saline. Continuous monitoring and careful observation during WLL can help prevent intraoperative dilutional acidosis.
Identifiants
pubmed: 35420327
doi: 10.1186/s40981-022-00520-9
pii: 10.1186/s40981-022-00520-9
pmc: PMC9010487
doi:
Types de publication
Journal Article
Langues
eng
Pagination
30Informations de copyright
© 2022. The Author(s).
Références
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