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Utilization of abdominal-normothermic regional perfusion (A-NRP) for organ procurement in donation after circulatory death is becoming commonplace. Simultaneous procurement of the donor lungs is technically challenging due to blood loss in the chest leading to inadequate circulatory support to the abdominal organs. We describe a priority-based stepwise approach to minimize blood loss in the chest and conserve blood that can be utilized for the A-NRP.