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Bronchoalveolar Lavage (BAL) for Research; Obtaining Adequate Sample Yield
Published on: March 24, 2014
Nursing care for patients with pulmonary alveolar proteinosis undergoing whole-lung lavage therapy: Case report
Liuyun Huang1, Changjiao Chen, Mingying Zhao
1Department of Geriatric Respiratory Medicine, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Rationale:
Whole-lung lavage (WLL) is the definitive treatment for pulmonary alveolar proteinosis (PAP), yet it carries significant perioperative risks. Precision nursing is vital to optimize outcomes.
Patient Concerns:
Four PAP patients presented with progressive dyspnea and severe anxiety regarding the complex surgical procedure and its uncertain prognosis.
Diagnoses:
The diagnosis was confirmed by the characteristic "paving stone" pattern on chest computed tomography and bronchoalveolar lavage fluid analysis.
Interventions:
A full-cycle precision nursing protocol was implemented, encompassing preoperative pulmonary prehabilitation and psychological support, intraoperative vital-sign monitoring with multidisciplinary collaboration, and postoperative airway management coupled with structured discharge follow-up.
Outcomes:
All patients completed WLL successfully with stable intraoperative physiology. No adverse events occurred. Postoperative respiratory function improved significantly, and therapeutic effects were sustained.
Lessons:
Full-cycle precision nursing ensures the safety and efficacy of WLL for PAP patients, optimizes perioperative management, prevents complications, and promotes patients' long-term functional recovery. This standardized nursing model is feasible and worthy of clinical popularization.
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