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June 22, 1984

Venovenous Bypass With a Membrane Lung to Support Bilateral Lung Lavage

Author Affiliations

From the Departments of Anesthesia (Drs Zapol, Wilson, Fish, and Castorena and Ms Quinn), Medicine (Drs Hales and Kradin), Surgery (Dr Hilgenberg), and Pathology (Dr Kradin), Massachusetts General Hospital of the Harvard Medical School, Boston.

JAMA. 1984;251(24):3269-3271. doi:10.1001/jama.1984.03340480051028

Partial venovenous cardiopulmonary bypass with a membrane oxygenator was used to exchange respiratory gases during and after bilateral lung lavage in a patient with severe hypoxemia caused by pulmonary alveolar proteinosis. The patient was unable to tolerate an attempt at lung lavage without bypass. Therefore, extracorporeal perfusion safely supported the patient's respiration for 32 hours, buying time to lavage each lung separately and to enable sufficient recovery of transpulmonary gas exchanging capacity.

(JAMA 1984;251:3269-3271)