Abstract
S IGNIFICANT hypermetabollsm is fortunately only rarely encountered during the perioperative period. Persistent hypermetabolism despite hypothermic cardiopulmonary bypass, implied by low mixed venous oxygen saturation, offers a formidable challenge to the anesthesiologist. Described in this report is an episode of significant hypermetabolism that occurred during bilateral single-lung transplantation and required the assist of cardiopulmonary bypass.
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