{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T18:46:45Z","timestamp":1784141205254,"version":"3.55.0"},"reference-count":0,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[1994,8,1]],"date-time":"1994-08-01T00:00:00Z","timestamp":775699200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1994,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Criteria for selecting lung donors include normal chest X-ray and adequate gas exchange, but normal bronchoscopy is not always required. Thus, we conducted a prospective study of fiberoptic bronchoscopy in 72 brain-dead donors scheduled for multiple organ procurement. Chest X-ray was considered normal in 37 donors (51%), and PaO2 was &amp;gt; 400 mm Hg with an FIO2 of 100% in 34 donors (47%). Fiberoptic bronchoscopy was normal in only 24 donors (33%). In the remaining 48 donors, inhalation of gastric contents (n = 26) or blood (n = 17), pulmonary contusion (n = 5), or purulent bronchial secretions (n = 4) were noted. In the 26 donors with normal chest X-ray and PaO2 &amp;gt; 400 mm Hg with FIO2 of 100%, bronchoscopy was abnormal in 10 donors (38%). In 33 donors, arteriovenous difference in oxygen content (2.4 +\/- 0.8 ml O2\/100 ml), and pulmonary shunt (0.30 +\/- 0.11, range 0.13-0.49) were measured. In the 15 donors with PaO2 &amp;gt; 400 mm Hg, pulmonary shunt was 0.23 +\/- 0.07 (range 0.13-0.35). Our study suggests that chest X-ray and arterial blood gas analysis are not sufficient, and that fiberoptic bronchoscopy should be routinely performed to select potential lung donors. Even in brain-dead donors, only the measurement of pulmonary shunt can precisely assess pulmonary gas exchange.<\/jats:p>","DOI":"10.1164\/ajrccm.150.2.8049847","type":"journal-article","created":{"date-parts":[[2013,4,4]],"date-time":"2013-04-04T17:52:39Z","timestamp":1365097959000},"page":"558-560","source":"Crossref","is-referenced-by-count":39,"title":["Fiberoptic Bronchoscopy in Brain-Dead Organ Donors"],"prefix":"10.1093","volume":"150","author":[{"given":"B","family":"Riou","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Groupe Hospitalier Piti\u00e9-Salp\u00eatri\u00e8re, Paris VI University, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Guesde","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Groupe Hospitalier Piti\u00e9-Salp\u00eatri\u00e8re, Paris VI University, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Jacquens","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Groupe Hospitalier Piti\u00e9-Salp\u00eatri\u00e8re, Paris VI University, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Duranteau","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Groupe Hospitalier Piti\u00e9-Salp\u00eatri\u00e8re, Paris VI University, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Viars","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care, Groupe Hospitalier Piti\u00e9-Salp\u00eatri\u00e8re, Paris VI University, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1994,8,1]]},"container-title":["American journal of respiratory and critical care medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ajrccm\/article-pdf\/150\/2\/558\/67618414\/ajrccm_150_2_558.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajrccm\/article-pdf\/150\/2\/558\/67618414\/ajrccm_150_2_558.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T07:38:40Z","timestamp":1774683520000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ajrccm\/article\/150\/2\/558\/8552984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,8,1]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[1994,8,1]]},"published-print":{"date-parts":[[1994,8,1]]}},"URL":"https:\/\/doi.org\/10.1164\/ajrccm.150.2.8049847","relation":{},"ISSN":["1073-449X","1535-4970"],"issn-type":[{"value":"1073-449X","type":"print"},{"value":"1535-4970","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1994,8]]},"published":{"date-parts":[[1994,8,1]]}}}