Technique of blood conservation in direct perfusion and procurement of lungs in combination with abdominal normothermic regional perfusion
Prashant N. Mohite,
Simon Messer,
Philip Curry
Affiliations
Prashant N. Mohite
Corresponding author: Prashant N. Mohite, Department of Cardiac Surgery and Transplantation, Golden Jubilee National Hospital, Agamemnon Street, Clydebank, Glasgow G81 4DY, United Kingdom.; Department of Cardiac Surgery and Transplantation, Golden Jubilee National Hospital, Clydebank, Glasgow, United Kingdom
Simon Messer
Department of Cardiac Surgery and Transplantation, Golden Jubilee National Hospital, Clydebank, Glasgow, United Kingdom
Philip Curry
Department of Cardiac Surgery and Transplantation, Golden Jubilee National Hospital, Clydebank, Glasgow, United Kingdom
Utilization of abdominal-normothermic regional perfusion (A-NRP) for organ procurement in donation after circulatory death is becoming commonplace. Simultaneous procurement of the donor lungs is technically challenging due to blood loss in the chest leading to inadequate circulatory support to the abdominal organs. We describe a priority-based stepwise approach to minimize blood loss in the chest and conserve blood that can be utilized for the A-NRP.