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Valavanur A. Subramanian
Robert L. Berger
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Ann Thorac Surg 1976;22:195-198
© 1976 The Society of Thoracic Surgeons

Articles

Carbon Monoxide Accumulation during Extracorporeal Membrane Oxygenation for Acute Respiratory Failure

Valavanur A. Subramanian, M.D.*, Robert L. Berger, M.D.

From the Department of Surgery, New York Hospital-Cornell Medical Center, New York, NY.

Accepted for publication November 17, 1975.

* Address reprint requests to Dr. Subramanian, The New York Hospital–Cornell Medical Center, 525 E 68th St, New York, NY 10021.

A marked increase in the carbon monoxide level in the blood sufficient to interfere with oxygen binding of hemoglobin was observed in a 43-year-old man during the course of extracorporeal membrane oxygenator support for acute respiratory failure from viral pneumonitis. The increased carbon monoxide level in this man was temporally related to the transfusion of large amounts of old bank blood. The etiology of an increased level of carbon monoxide in the blood during extracorporeal circulation is discussed and solutions to this problem are suggested.






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