High-Risk Whole Lung Lavage for An Unprecedented Oil Drowning Situation: Management Issues from a Respiratory Therapist\'s Perspective

Anmol Hanamant Thorbole; Hari Prasad; Sameer Bansal; Ravindra Mehta

doi:10.4103/ijrc.ijrc_42_21

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High-Risk Whole Lung Lavage for An Unprecedented Oil Drowning Situation: Management Issues from a Respiratory Therapist's Perspective

Anmol Hanamant Thorbole, Hari Prasad, Sameer Bansal, Ravindra Mehta

Keywords : Acute respiratory distress syndrome, extracorporeal membrane oxygenation, lipoid pneumonia, oil drowning, rescue therapy, rigid bronchoscopy

Citation Information : Thorbole AH, Prasad H, Bansal S, Mehta R. High-Risk Whole Lung Lavage for An Unprecedented Oil Drowning Situation: Management Issues from a Respiratory Therapist's Perspective. Indian J Respir Care 2021; 10 (2):260-262.

DOI: 10.4103/ijrc.ijrc_42_21

License: CC BY-NC-SA 4.0

Published Online: 06-12-2022

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Abstract

Bilateral whole lung lavage (WLL), a complex procedure involving large volume saline washes of both lungs is a standard treatment for pulmonary alveolar proteinosis. Uncommonly, following large volume oil aspiration, the ensuing fulminant lipoid pneumonia (“oil drowning”) can be fatal, and therapeutic WLL can be lifesaving. In this report, we describe an oil drowning situation salvaged with high-risk WLL and highlight procedural and critical care aspects from a respiratory therapist's perspective.

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