The Annals of Thoracic Surgery, Vol 22, 195-198, Copyright © 1976 by The Society of Thoracic Surgeons
Carbon monoxide accumulation during extracoporeal membrane oxygenation for acute respiratory failure
VA Subramanian and RL Berger
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.