We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Implantable Lung-Assist Device Being Tested on Patients With Acute Respiratory Failure

Andrew A. Skolnick
JAMA. 1991;266(10):1332-1335. doi:10.1001/jama.1991.03470100024008.
Text Size: A A A
Published online


THE UNIVERSITY of Texas Medical Branch (UTMB), Galveston, is one of seven sites testing an intravascular membrane oxygenator on patients with acute, potentially reversible respiratory failure.

Although the experimental device (Int J Artif Organs. 1989;12:384-389) provides less than half the gas exchange needs of a patient, it may be enough to prevent or significantly reduce lung injury that often results from high pressures and increased oxygen tensions produced by mechanical ventilation, says Joseph B. Zwischenberger, MD, associate professor of cardiothoracic surgery, and director of the university's Extracorporeal Membrane Oxygenation Program.

Says Zwischenberger, the intravascular oxygenator or IVOX (Cardiopulmonics Inc, Salt Lake City, Utah) is a "booster lung" rather than an artificial lung for replacing diseased or injured lungs. Studies with sheep suggest that it may be able to provide 30% of a patient's gas exchange requirements. While not enough to replace mechanical ventilation for patients suffering acute respiratory failure, it


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.