Document Detail

Improved lung preservation with cold air storage.
MedLine Citation:
PMID:  2012414     Owner:  NLM     Status:  MEDLINE    
Conventional topical slush cooling limits lung transport to 4 to 6 hours. For this canine study of an alternate air cooling system, 37 canine lungs were removed: 24 were placed in plastic bags, and inserted in a Transplanthermm container at core air temperatures (n = 6 lungs each) of (A) 4 degrees C, (B) 8 degrees C, (C) 12 degrees C, and (D) 20 degrees C; 6 were stored conventionally in ice slush (E); and 7 were transplanted immediately (F). After 8 hours, the stored lungs were transplanted and the contralateral pulmonary artery was ligated. Survival, arterial oxygen tension, and extravascular lung water were monitored at 15 minutes and every hour for 4 hours. Four-hour survival was 100% in groups A, B, and F; 83% in group C, 50% in group D, and 17% in group E. The mean arterial oxygen tension at 1 hour was lower in group E (6.4 +/- 2.4 kPa) than in group A (39.8 +/- 13.2 kPa) (p = 0.0002) or in group F (42.0 +/- 16.2 kPa) (p = 0.0035). Extravascular lung water in group E was higher at 15 minutes (15.44 +/- 5.63 mL/kg) than in group A (3.76 +/- 0.63 mL/kg) (p = 0.0001) and group F (4.69 +/- 1.65 mL/kg) (p = 0.003). Cold air storage appears to provide better lung preservation than hypothermic immersion in ice slush.
N D Kon; M H Hines; C D Harr; L R Miller; C L Taylor; A R Cordell; S A Mills
Related Documents :
11174994 - Albunex does not increase the sensitivity of the lung to pulsed ultrasound.
23834454 - Conversion of nuclear spin isomers of ethylene.
11478814 - Ventilation and the critically ill parturient.
8180564 - Effect of radical scavengers and hyperbaric oxygen on smoke-induced pulmonary edema.
12488614 - High-pressure biotechnology in medicine and pharmaceutical science.
6876134 - Tourniquets for surgery: safety aspects.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  51     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1991 Apr 
Date Detail:
Created Date:  1991-05-07     Completed Date:  1991-05-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  557-61; discussion 561-2     Citation Subset:  AIM; IM    
Department of Cardiothoracic Surgery, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cryopreservation / methods*
Lung Transplantation*
Organ Preservation / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Thoracotomy in the octogenarian.
Next Document:  Membrane oxygenator prevents lung reperfusion injury in canine cardiopulmonary bypass.