Therapeutic Whole-Lung Lavage for Pulmonary Alveolar Proteinosis A Procedural Update

摘要

The earliest descriptions of lung lavage involved catheter placement in the dependent lung in awake patients. In a series of publications from 1963 to 1965, Ramirez-Rivera and colleagues described subtle modifications to this technique that led to the modern WLL procedure.6'7 By 1965, a technique for lavaging the lung with a double-lumen endotracheal tube (DLT) under local, and then subsequently under general anesthesia, had been developed.8 However, the modern technique of WLL as practiced today was not described until 1994.