Whole lung lavage

Whole lung lavage
Other namesLung washing
ICD-9-CM33.99

Whole lung lavage (WLL), also called lung washing, is a medical procedure in which the patient's lungs are washed with saline (salt water) by filling and draining repeatedly. It is used to treat pulmonary alveolar proteinosis, in which excess lung surfactant proteins prevent the patient from breathing.[1][2] Some sources consider it a variation of bronchoalveolar lavage.[3]

WLL has been experimentally used for silicosis,[4] other forms of mineral inhalation, and accidental inhalation of radioactive dust.[5] It appears to effectively remove these foreign particles.[4][6] WLL treatments may slow down the lung function decline of miners with pneumoconiosis.[7]

  1. ^ Michaud, G.; Reddy, C.; Ernst, A. (2009). "Whole-lung lavage for pulmonary alveolar proteinosis". Chest. 136 (6): 1678–1681. doi:10.1378/chest.09-2295. PMID 19995769.
  2. ^ Cleveland Clinic (6 August 2014). "How 'Lung Washing' Helps You Breathe Again". HealthEssentials. Archived from the original on 14 August 2020. Retrieved 25 March 2020.
  3. ^ Patel, Pujan H.; Antoine, Marsha H.; Ullah, Saad (2023). "Bronchoalveolar Lavage". StatPearls. StatPearls Publishing. PMID 28613513.
  4. ^ a b Prudon, B; Attanoos, R; Morgan, C; Stenton, Sc (December 2012). "P112 Therapeutic Whole Lung Lavage For Silicosis – First Application in the UK". Thorax. 67 (Suppl 2): A111.1–A111. doi:10.1136/thoraxjnl-2012-202678.395. S2CID 72695608.
  5. ^ Danel, C.; Israël-Biet, D.; Costabel, U.; Klech, H. (1992). "Therapeutic applications of bronchoalveolar lavage". European Respiratory Journal. 5 (10): 1173–5. doi:10.1183/09031936.93.05101173. PMID 1486961. S2CID 6265382.
  6. ^ Chen, Y; Lyu, X; Li, T; Wang, H (22 September 2023). "Impact of Whole Lung Lavage on Pneumoconiosis Patients - China, 2018-2022". China CDC Weekly. 5 (38): 844–848. doi:10.46234/ccdcw2023.160. PMC 10560373. PMID 37814649.
  7. ^ Zeng Y, Jiang Y, Banks DE (August 2022). "The Effectiveness of Whole Lung Lavage in Pneumoconiosis: A Systematic Review and Meta-Analysis". J Occup Environ Med. 64 (8): e492 – e499. doi:10.1097/JOM.0000000000002599. PMID 35732044. S2CID 249956633.