Technique of blood conservation in direct perfusion and procurement of lungs in combination with abdominal normothermic regional perfusion

Utilization of abdominal normothermic regional perfusion (A-NRP) for organ procurement in donation after circulatory death (DCD) is becoming a 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 minimise blood loss in the chest and conserve blood that can be utilized for the A-NRP.