{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-c03aa079.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-517835be.css\" media=\"all\" /\u003e\n\u003cdiv data-title='Doctors experiment to increase lung life  for organ donation ++GRAPHIC IMAGES++' data-url='/boclips/videos/5c54c365d8eafeecae160f41' data-video-url='/boclips/videos/5c54c365d8eafeecae160f41' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nDoctors experiment to increase lung life  for organ donation ++GRAPHIC IMAGES++\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eThese lungs are being kept alive by the team of scientists in this laboratory.The team is hoping the medical progress they make here will benefit the many thousands of people who hope their lives will be transformed by a...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eThese lungs are being kept alive by the team of scientists in this laboratory.\u003cbr/\u003eThe team is hoping the medical progress they make here will benefit the many thousands of people who hope their lives will be transformed by a transplant.\u003cbr/\u003eResearchers believe we're not reaching the full potential of lung donation and many more could be made available for transplant.\u003cbr/\u003eUnlike other parts in our bodies our lungs are preserved by the air left inside, it stops the immediate onset of decay. \u003cbr/\u003eThe study's being led by cardiothoracic consultant, Dr. Thomas Egan, here at University of North Carolina-Chapel Hill (UNC) in Chapel Hill.\u003cbr/\u003eHe says: \"Your lungs don't die when you do. Unlike other solid organs that die within minutes of stopping circulation, lung tissue and lung cells live on for hours after death.\"\u003cbr/\u003eEgan wants to ensure that doctors don't miss the opportunity to secure a donation in that window of time to allow people who die suddenly to donate their lungs.\u003cbr/\u003eThe problem is that there is no process for harvesting the organs from donors who die suddenly outside of a hospital.\u003cbr/\u003eUp to 80% of lungs that are donated aren't usable.  \u003cbr/\u003eMost come from donors who died in a hospital, where lungs are frequently damaged by ventilators and other complications during prolonged stays.\u003cbr/\u003eEgan wants to reach sudden death victims in their homes, or elsewhere in the community and he's testing the practice in parts of North Carolina.   \u003cbr/\u003e\"There are some logistical hurdles,\" says Egan.  \u003cbr/\u003eHe adds: \"There are a lot of changes to the routine of handling individuals who die suddenly.  On the other hand, a lot of individuals would like to be organ donors, and those who die suddenly generally aren't organ donors.\"\u003cbr/\u003eAfter someone collapses with cardiac arrest and emergency workers have exhausted attempts to resuscitate Egan wants teams to check whether the dead patient's driving license identifies them as as a registered donor.\u003cbr/\u003eIf they are the local organ recovery agency would be immediately alerted to contact the next-of-kin for permission for to use the organ in the research.\u003cbr/\u003eIf that happens within about an hour of death workers pump a little air into the lungs to preserve them while the body is transported to an operating room for organ recovery.\u003cbr/\u003eThe next crucial step is to ensure the lungs are healthy through an examination in the laboratory.\u003cbr/\u003eThis is the study's first pair of donated lungs. \u003cbr/\u003eTheir lifetime after the donor's death is being increased by a process called ex vivo lung perfusion.\u003cbr/\u003eThe machine infuses air and fluids through the lungs so they also can be inspected for disease and malfunction. \u003cbr/\u003eThe black speckling on the outside of the lungs doesn't worry the team although they're a sign of city living, or perhaps  smoking. \u003cbr/\u003eIt's the inside that counts.\u003cbr/\u003eThese lungs didn't pass the test because Egan found some early disease. \u003cbr/\u003eBut they did show it was possible to get a donation in time to see if it was viable for transplantation.\u003cbr/\u003e\"Right now in the United States, we do 1,800 lung transplants a year.  We think that we could be doing upwards of 40 to 50,000 lung transplants a year,\" Egan says.  \u003cbr/\u003eLungs that do pass health checks will be transplanted into patients taking part in the study funded by the National Institutes of Health.\u003cbr/\u003e\"I've never had a normal breathing day,\" said Lisa Bowman, 51, of Union Grove, North Carolina.  \u003cbr/\u003eBowman has been on the waiting list for new lungs for two years after a rare genetic disease gradually damaged her own until, she says, it became like \"breathing through a pinhole.\" \u003cbr/\u003eShe hopes Egan's research will help her find a match more quickly : \"I cannot think of another, anything that would be more exciting.  I think that would be the greatest thing to have, to be able to breathe normal.\"\u003cbr/\u003ePrevious attempts at out-of-hospital donation of kidneys had to be abandoned because of logistical hurdles. \u003cbr/\u003eTransplant specialists are watching with keen interest to see if this programme works.\u003cbr/\u003eNorth Carolina, US,  2013 (exact date withheld to protect donor's identity)\u003cbr/\u003e1. Close of human lungs in a laboratory at University of North Carolina-Chapel Hill being artificially infused with air\u003cbr/\u003e2. Mid of researchers placing lid on tank holding donated lungs\u003cbr/\u003e3. Mid of lungs \"breathing\" in testing chamber \u003cbr/\u003eNorth Carolina, US, October 25, 2013\u003cbr/\u003e4. SOUNDBITE: (English), Dr. Thomas Egan, cardio thoracic surgeon, University of North Carolina-Chapel Hill\u003cbr/\u003e\"Your lungs don't die when you do. Unlike other solid organs that die within minutes of stopping circulation, lung tissue and lung cells live on for hours after death.\"\u003cbr/\u003eNorth Carolina, US,  2013 (exact date withheld to protect donor's identity)\u003cbr/\u003e5. Wide of research team in lab\u003cbr/\u003e6. Close of Egan holding a tube that's infusing the lungs with air and fluids \u003cbr/\u003e7. Close  of Egan looking through microscope \u003cbr/\u003e8. Close of lungs infusing in dome\u003cbr/\u003eNorth Carolina, US, October 25, 2013\u003cbr/\u003e9. SOUNDBITE: (English), Dr. Thomas Egan, cardiothoracic surgeon, University of North Carolina-Chapel Hill:\u003cbr/\u003e\"There are some logistical hurdles.  There is a lot of changes to the routine of handling individuals who die suddenly.  On the other hand, a lot of individuals would like to be organ donors, and those who die suddenly generally aren't organ donors.\"\u003cbr/\u003eNorth Carolina, US,  2013 (exact date withheld to protect donor's identity)\u003cbr/\u003e11. Mid to wide pan of researcher pulling cooler containing donated lungs into laboratory \u003cbr/\u003e12. Mid of researcher opening bag in cooler\u003cbr/\u003e13. Close zoom out of researcher removing bag containing lungs from cooler to place in a bowl \u003cbr/\u003e14. Close lungs being examined\u003cbr/\u003e15. Close of Egan's face\u003cbr/\u003e16. Mid zoom in of Egan placing lungs into testing chamber \u003cbr/\u003eNorth Carolina, US October 25, 2013 \u003cbr/\u003e17. SOUNDBITE:  (English) Dr. Thomas Egan, cardiothoracic surgeon, University of North Carolina-Chapel Hill:\u003cbr/\u003e\"And this would have a profound impact on the number of lungs that are available for transplant.  Right now in the United States, we do 1,800 lung transplants a year.  We think that we could be doing upwards of 40 to 50,000 lung transplants a year.\"\u003cbr/\u003eNorth Carolina, US,  2013 (exact date withheld to protect donor's identity)\u003cbr/\u003e18. Mid of Egan looking over lungs as they're infused in dome\u003cbr/\u003e19. Various Close of lungs infusing \u003cbr/\u003eNorth Carolina, US, October 25, 2013\u003cbr/\u003e20. Close  of Lisa Bowman, study volunteer, putting breathing tube in her nose\u003cbr/\u003e21. SOUNDBITE:  (English) Lisa Bowman, waiting for donor lung \u003cbr/\u003e\"I've never had a normal breathing day.\"\u003cbr/\u003e22. Bowman walking over to sit and rest on couch\u003cbr/\u003eUPSOUND: (English) Lisa Bowman, waiting for donor lung \u003cbr/\u003e\"I think I'll sit down for a little bit, catch my breath (coughing).\"  \u003cbr/\u003e23. Wide low view of Bowman on couch coughing \u003cbr/\u003e24. SOUNDBITE: (English), Lisa Bowman, waiting for donor lung  \u003cbr/\u003e\"The best way I can describe it - it literally feels like you're trying to get all of your air through a pinhole sometimes.\"\u003cbr/\u003e25. Bowman adjusting breathing tube\u003cbr/\u003e26. SOUNDBITE: (English), Lisa Bowman, waiting for donor lung  \u003cbr/\u003e\"I cannot think of another, anything that would be more exciting.  I think that would be the greatest thing to have, to be able to breathe normal.\"\u003cbr/\u003eNorth Carolina, US, 2013  (exact date withheld to protect donor's identity)\u003cbr/\u003e27. Close  of tube infusing air and liquid into donated lungs\u003cbr/\u003e28. Close  of lungs infusing\u003cbr/\u003eNorth Carolina, US October 25, 2013 \u003cbr/\u003e29. SOUNDBITE: (English), Dr. Thomas Egan, cardiothoracic surgeon, University of North Carolina-Chapel Hill:\u003cbr/\u003e\"By doing this repeatedly, we're likely to get more efficient, which will potentially improve opportunities to not only transplant lungs but have lungs function better after recovery following sudden death.\"\u003cbr/\u003eNorth Carolina, US, 2013  (exact date withheld to protect donor's identity)\u003cbr/\u003e30. 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