Is lung lavage a major or minor procedure?

Apr 18, 2023 Source: Cainiu Health

Dr. Yang Ziqi

Introduction

Lung washing refers to whole-lung lavage, which is generally a major surgical procedure. During the operation, the patient must undergo general anesthesia, and a bronchial tube is inserted into the lung to perform air-fluid separation. The lung is then irrigated with normal saline or other medications until the drainage fluid becomes clear. This procedure is technically challenging and time-consuming.

Lung washing refers to whole-lung lavage, which is generally considered a major surgical procedure.

Whole-lung lavage is primarily indicated for patients with severe infectious lung diseases, refractory asthma, or pulmonary occupational diseases, whose lung secretions cannot be effectively coughed out. When these secretions remain trapped in the lungs for prolonged periods, they may lead to recurrent symptoms or even respiratory distress. In such cases, whole-lung lavage is required to remove the accumulated material. During the procedure, the patient undergoes general anesthesia, and a bronchial tube is inserted into the lung to perform air-fluid separation. The lung is then irrigated with normal saline or other medications until the drainage fluid becomes clear. Due to its technical complexity, lengthy duration, and high demands on the patient's physical condition, large-volume whole-lung lavage is classified as a major surgery.

Although whole-lung lavage has a broad range of applications, it is not recommended for patients with severe tuberculosis or other cardiovascular diseases, as the procedure could exacerbate their conditions. After surgery, patients should take extra care to protect their health by avoiding areas with air pollution, abstaining from smoking and alcohol, and minimizing any irritation to the lungs.

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Do you use lung lavage for mycoplasma infection?

In general, whether bronchoalveolar lavage (BAL) is used for mycoplasma infection mainly depends on the severity of the infection. If the patient's condition is mild, BAL is usually not required; however, if the condition is severe, BAL may be necessary. During mycoplasma infection, patients should ensure adequate rest and avoid crowded places to prevent cross-infection.

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Is lung washing painful, and how is it performed?

Lung lavage refers to whole-lung lavage with large volumes of fluid, which is typically painless if the anesthesia is effective. However, patients who are insensitive to the anesthetic components may experience considerable discomfort. Whole-lung lavage primarily involves inserting a catheter to infuse normal saline into the lungs for cleansing purposes. After the procedure, it is recommended to minimize lung irritation, avoid smoking and alcohol, and refrain from excessive fatigue.