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    Michael Gropper, MD, PhD

    TitleProfessor
    SchoolUCSF School of Medicine
    DepartmentAnesthesia
    Address521 Parnassus Ave, Clinic Sci
    San Francisco CA 94143
    Phone415-476-6771
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      Collapse Biography 
      Collapse Education and Training
      University of California, San Francisco Residency School of Medicine
      University of California Los AngelesM.D.School of Medicine1989
      University of California, San FranciscoPh.D. Graduate Division (Physiology)1985
      Collapse Awards and Honors
      Harvard Medical School20133rd Henning Pontoppidan Lecture

      Collapse Overview 
      Collapse Overview
      Professor and Interim Chairman
      Department of Anesthesia and Perioperative Care


      Collapse ORNG Applications 
      Collapse Websites
      Collapse In The News
      Collapse Clinical Trials
      Collapse Global Health
      Collapse Featured Videos

      Collapse Bibliographic 
      Collapse Publications
      Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
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      1. Vacas S, McInrue E, Gropper MA, Maze M, Zak R, Lim E, Leung JM. The Feasibility and Utility of Continuous Sleep Monitoring in Critically Ill Patients Using a Portable Electroencephalography Monitor. Anesth Analg. 2016 Jul; 123(1):206-12. PMID: 27159066.
        View in: PubMed
      2. Lipshutz AK, Feiner JR, Grimes B, Gropper MA. Predicting mortality in the intensive care unit: a comparison of the University Health Consortium expected probability of mortality and the Mortality Prediction Model III. J Intensive Care. 2016; 4:35. PMID: 27217959.
        View in: PubMed
      3. Lipshutz AK, Gropper MA. Intensive Care Unit-acquired Muscle Weakness: An Ounce of Prevention Is Worth a Pound of Cure. Anesthesiology. 2016 Jan; 124(1):7-9. PMID: 26448468.
        View in: PubMed
      4. Crowley JC, Gropper MA. IV Immunoglobulin: A Useful Tool for the Severe Pneumonia Toolbox? Crit Care Med. 2016 Jan; 44(1):250-1. PMID: 26672937.
        View in: PubMed
      5. Paradis E, Leslie M, Gropper MA. Interprofessional rhetoric and operational realities: an ethnographic study of rounds in four intensive care units. Adv Health Sci Educ Theory Pract. 2016 Oct; 21(4):735-48. PMID: 26704051.
        View in: PubMed
      6. Feiner JR, Gropper MA, Toy P, Lieberman J, Twiford J, Weiskopf RB. A Clinical Trial to Detect Subclinical Transfusion-induced Lung Injury during Surgery. Anesthesiology. 2015 Jul; 123(1):126-35. PMID: 25946480; PMCID: PMC4626309 [Available on 07/01/16].
      7. Lipshutz AK, Caldwell JE, Robinowitz DL, Gropper MA. An analysis of near misses identified by anesthesia providers in the intensive care unit. BMC Anesthesiol. 2015; 15:93. PMID: 26082147; PMCID: PMC4468961.
      8. Chen CL, Lin GA, Bardach NS, Clay TH, Boscardin WJ, Gelb AW, Maze M, Gropper MA, Dudley RA. Preoperative medical testing in Medicare patients undergoing cataract surgery. N Engl J Med. 2015 Apr 16; 372(16):1530-8. PMID: 25875258.
        View in: PubMed
      9. Roubinian NH, Looney MR, Kor DJ, Lowell CA, Gajic O, Hubmayr RD, Gropper MA, Koenigsberg M, Wilson GA, Matthay MA, Toy P, Murphy EL. Cytokines and clinical predictors in distinguishing pulmonary transfusion reactions. Transfusion. 2015 Aug; 55(8):1838-46. PMID: 25702590; PMCID: PMC4536135 [Available on 08/01/16].
      10. Toy P, Bacchetti P, Grimes B, Gajic O, Murphy EL, Winters JL, Gropper MA, Hubmayr RD, Matthay MA, Wilson G, Koenigsberg M, Lee DC, Hirschler NV, Lowell CA, Schuller RM, Gandhi MJ, Norris PJ, Mair DC, Sanchez Rosen R, Looney MR. Recipient clinical risk factors predominate in possible transfusion-related acute lung injury. Transfusion. 2015 May; 55(5):947-52. PMID: 25488517; PMCID: PMC4428945 [Available on 05/01/16].
      11. Looney MR, Roubinian N, Gajic O, Gropper MA, Hubmayr RD, Lowell CA, Bacchetti P, Wilson G, Koenigsberg M, Lee DC, Wu P, Grimes B, Norris PJ, Murphy EL, Gandhi MJ, Winters JL, Mair DC, Schuller RM, Hirschler NV, Rosen RS, Matthay MA, Toy P. Prospective study on the clinical course and outcomes in transfusion-related acute lung injury*. Crit Care Med. 2014 Jul; 42(7):1676-87. PMID: 24776608; PMCID: PMC4284060.
      12. Paradis E, Leslie M, Puntillo K, Gropper M, Aboumatar HJ, Kitto S, Reeves S. Delivering interprofessional care in intensive care: a scoping review of ethnographic studies. Am J Crit Care. 2014 May; 23(3):230-8. PMID: 24786811.
        View in: PubMed
      13. Gilliss BM, Gropper MA. Say no to old blood*. Crit Care Med. 2013 Nov; 41(11):2648-9. PMID: 24162678.
        View in: PubMed
      14. Leslie M, Paradis E, Gropper MA, Reeves S, Kitto S. Applying ethnography to the study of context in healthcare quality and safety. BMJ Qual Saf. 2014 Feb; 23(2):99-105. PMID: 24096894.
        View in: PubMed
      15. Engel HJ, Needham DM, Morris PE, Gropper MA. ICU early mobilization: from recommendation to implementation at three medical centers. Crit Care Med. 2013 Sep; 41(9 Suppl 1):S69-80. PMID: 23989097.
        View in: PubMed
      16. Paradis E, Leslie M, Gropper MA, Aboumatar HJ, Kitto S, Reeves S. Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies. J Crit Care. 2013 Dec; 28(6):1062-7. PMID: 23890936.
        View in: PubMed
      17. Paradis E, Reeves S, Leslie M, Aboumatar H, Chesluk B, Clark P, Courtenay M, Franck L, Lamb G, Lyndon A, Mesman J, Puntillo K, Schmitt M, van Soeren M, Wachter B, Zwarenstein M, Gropper M, Kitto S. Exploring the nature of interprofessional collaboration and family member involvement in an intensive care context. J Interprof Care. 2014 Jan; 28(1):74-5. PMID: 23672585.
        View in: PubMed
      18. Gropper MA. Postoperative respiratory muscle dysfunction: only the strong survive. Anesthesiology. 2013 Apr; 118(4):783-4. PMID: 23386178.
        View in: PubMed
      19. Murphy EL, Kwaan N, Looney MR, Gajic O, Hubmayr RD, Gropper MA, Koenigsberg M, Wilson G, Matthay M, Bacchetti P, Toy P. Risk factors and outcomes in transfusion-associated circulatory overload. Am J Med. 2013 Apr; 126(4):357.e29-38. PMID: 23357450; PMCID: PMC3652681.
      20. Lipshutz AK, Gropper MA. Acquired neuromuscular weakness and early mobilization in the intensive care unit. Anesthesiology. 2013 Jan; 118(1):202-15. PMID: 22929731.
        View in: PubMed
      21. Puntillo KA, Neuhaus J, Arai S, Paul SM, Gropper MA, Cohen NH, Miaskowski C. Challenge of assessing symptoms in seriously ill intensive care unit patients: can proxy reporters help? Crit Care Med. 2012 Oct; 40(10):2760-7. PMID: 22890258; PMCID: PMC3712644.
      22. Lipshutz AK, Gropper MA. Central venous catheters: follow the evidence, not the guidelines. Crit Care Med. 2012 Aug; 40(8):2528-9. PMID: 22809938.
        View in: PubMed
      23. Toossi S, Lomen-Hoerth C, Josephson SA, Gropper MA, Roberts J, Patton K, Smith WS. Organ donation after cardiac death in amyotrophic lateral sclerosis. Ann Neurol. 2012 Feb; 71(2):154-6. PMID: 22334377.
        View in: PubMed
      24. Weiskopf RB, Feiner J, Toy P, Twiford J, Shimabukuro D, Lieberman J, Looney MR, Lowell CA, Gropper MA. Fresh and stored red blood cell transfusion equivalently induce subclinical pulmonary gas exchange deficit in normal humans. Anesth Analg. 2012 Mar; 114(3):511-9. PMID: 22262647; PMCID: PMC3927839.
      25. Toy P, Gajic O, Bacchetti P, Looney MR, Gropper MA, Hubmayr R, Lowell CA, Norris PJ, Murphy EL, Weiskopf RB, Wilson G, Koenigsberg M, Lee D, Schuller R, Wu P, Grimes B, Gandhi MJ, Winters JL, Mair D, Hirschler N, Sanchez Rosen R, Matthay MA. Transfusion-related acute lung injury: incidence and risk factors. Blood. 2012 Feb 16; 119(7):1757-67. PMID: 22117051; PMCID: PMC3286351.
      26. Gilliss BM, Looney MR, Gropper MA. Reducing noninfectious risks of blood transfusion. Anesthesiology. 2011 Sep; 115(3):635-49. PMID: 21792054; PMCID: PMC3162102.
      27. Donovan AL, Gropper MA. Prediction is very difficult, especially about the future-Niels Bohr. Crit Care Med. 2011 Aug; 39(8):2005-7. PMID: 21768809.
        View in: PubMed
      28. Razonable RR, Findlay JY, O'Riordan A, Burroughs SG, Ghobrial RM, Agarwal B, Davenport A, Gropper M. Critical care issues in patients after liver transplantation. Liver Transpl. 2011 May; 17(5):511-27. PMID: 21384524.
        View in: PubMed
      29. Puntillo KA, Arai S, Cohen NH, Gropper MA, Neuhaus J, Paul SM, Miaskowski C. Symptoms experienced by intensive care unit patients at high risk of dying. Crit Care Med. 2010 Nov; 38(11):2155-60. PMID: 20711069; PMCID: PMC3377582.
      30. Liu LL, Aldrich JM, Shimabukuro DW, Sullivan KR, Taylor JM, Thornton KC, Gropper MA. Special article: rescue therapies for acute hypoxemic respiratory failure. Anesth Analg. 2010 Sep; 111(3):693-702. PMID: 20624836.
        View in: PubMed
      31. Aldrich JM, Gropper MA. Can we predict pulmonary complications after thoracic surgery? Anesth Analg. 2010 May 1; 110(5):1261-3. PMID: 20418289.
        View in: PubMed
      32. Josephson SA, Moheet AM, Gropper MA, Nichols AD, Smith WS. Ventilator-associated pneumonia in a neurologic intensive care unit does not lead to increased mortality. Neurocrit Care. 2010 Apr; 12(2):155-8. PMID: 19806474.
        View in: PubMed
      33. Ong MK, Mangione CM, Romano PS, Zhou Q, Auerbach AD, Chun A, Davidson B, Ganiats TG, Greenfield S, Gropper MA, Malik S, Rosenthal JT, Escarce JJ. Looking forward, looking back: assessing variations in hospital resource use and outcomes for elderly patients with heart failure. Circ Cardiovasc Qual Outcomes. 2009 Nov; 2(6):548-57. PMID: 20031892; PMCID: PMC2951887.
      34. Savel RH, Goldstein EB, Gropper MA. Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research. Crit Care Med. 2009 Feb; 37(2):725-8. PMID: 19114910.
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      35. Lipshutz AK, Gropper MA. Perioperative glycemic control: an evidence-based review. Anesthesiology. 2009 Feb; 110(2):408-21. PMID: 19194167.
        View in: PubMed
      36. Shimabukuro DW, Gropper MA. Noisy mechanical ventilation: listen to the melody. Anesthesiology. 2009 Feb; 110(2):214-5. PMID: 19194146.
        View in: PubMed
      37. Hlava N, Niemann CU, Gropper MA, Melcher ML. Postoperative infectious complications of abdominal solid organ transplantation. J Intensive Care Med. 2009 Jan-Feb; 24(1):3-17. PMID: 19017663.
        View in: PubMed
      38. Sullivan K, Gropper MA. Laboratory testing guidelines in the intensive care unit: less red and more green. Crit Care Med. 2008 Nov; 36(11):3102-3. PMID: 18941313.
        View in: PubMed
      39. Lipshutz AK, Fee C, Schell H, Campbell L, Taylor J, Sharpe BA, Nguyen J, Gropper MA. Strategies for success: A PDSA analysis of three QI initiatives in critical care. Jt Comm J Qual Patient Saf. 2008 Aug; 34(8):435-44. PMID: 18714744.
        View in: PubMed
      40. Yost CS, Gropper MA. The curse of the drinking class. Crit Care Med. 2008 Jun; 36(6):1958-9. PMID: 18520650.
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      41. Liu L, Gropper MA. Tracheostomy protocol compliance: herding cats? Crit Care Med. 2008 Jun; 36(6):1959-60. PMID: 18520651.
        View in: PubMed
      42. Gropper MA, Wiener-Kronish J. The epithelium in acute lung injury/acute respiratory distress syndrome. Curr Opin Crit Care. 2008 Feb; 14(1):11-5. PMID: 18195620.
        View in: PubMed
      43. Gropper MA. Multisystem organ failure: predicting the future. Anesthesiology. 2007 Jul; 107(1):6-7. PMID: 17585208.
        View in: PubMed
      44. Taylor JM, Gropper MA. Critical care challenges in orthopedic surgery patients. Crit Care Med. 2006 Sep; 34(9 Suppl):S191-9. PMID: 16917423.
        View in: PubMed
      45. Gajic O, Gropper MA, Hubmayr RD. Pulmonary edema after transfusion: how to differentiate transfusion-associated circulatory overload from transfusion-related acute lung injury. Crit Care Med. 2006 May; 34(5 Suppl):S109-13. PMID: 16617253.
        View in: PubMed
      46. Niemann CU, Behrends M, Quan D, Eilers H, Gropper MA, Roberts JP, Hirose R. Recombinant factor VIIa reduces transfusion requirements in liver transplant patients with high MELD scores. Transfus Med. 2006 Apr; 16(2):93-100. PMID: 16623915.
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      47. Fee C, Gropper MA. Establishing a comprehensive, evidence-based protocol for the care of patients with sepsis. Acad Emerg Med. 2005 Sep; 12(9):912-3; author reply 914. PMID: 16141030.
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      48. Guglielmo BJ, Dudas V, Maewal I, Young R, Hilts A, Villmann M, Gibbs L, Gropper M, Jacobs R. Impact of a series of interventions in vancomycin prescribing on use and prevalence of vancomycin-resistant enterococci. Jt Comm J Qual Patient Saf. 2005 Aug; 31(8):469-75. PMID: 16156195.
        View in: PubMed
      49. Gropper MA. Evidence-based management of critically ill patients: analysis and implementation. Anesth Analg. 2004 Aug; 99(2):566-72. PMID: 15271740.
        View in: PubMed
      50. Looney MR, Gropper MA, Matthay MA. Transfusion-related acute lung injury: a review. Chest. 2004 Jul; 126(1):249-58. PMID: 15249468.
        View in: PubMed
      51. Gropper MA, Matthay MA. Look before you leap: how do intensivists improve care for critically ill patients? Am J Med. 2004 Feb 1; 116(3):206-7. PMID: 14749169.
        View in: PubMed
      52. Gropper MA. Sepsis and hypothermia: call in the granulocytes? Anesthesiology. 2003 Nov; 99(5):1041-3. PMID: 14576534.
        View in: PubMed
      53. Shimabukuro DW, Sawa T, Gropper MA. Injury and repair in lung and airways. Crit Care Med. 2003 Aug; 31(8 Suppl):S524-31. PMID: 12907882.
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      54. Misset B, Gropper MA, Wiener-Kronish JP. Predicting mortality in acute respiratory distress syndrome: circulatory system knows best. Crit Care Med. 2003 Mar; 31(3):980-1. PMID: 12627020.
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      55. Gropper MA, Wiener-Kronish J. The alveolar epithelium: suspect or innocent bystander? Anesthesiology. 2003 Jan; 98(1):3-4. PMID: 12502970.
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      56. Liu LL, Gropper MA. Postoperative analgesia and sedation in the adult intensive care unit: a guide to drug selection. Drugs. 2003; 63(8):755-67. PMID: 12662124.
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      57. Gropper MA. A momentary pause... Br J Anaesth. 2001 Jun; 86(6):746-9. PMID: 11573578.
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      58. Savel RH, Yao EC, Gropper MA. Protective effects of low tidal volume ventilation in a rabbit model of Pseudomonas aeruginosa-induced acute lung injury. Crit Care Med. 2001 Feb; 29(2):392-8. PMID: 11246322.
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      59. Yost CS, Matthay MA, Gropper MA. Etiology of acute pulmonary edema during liver transplantation : a series of cases with analysis of the edema fluid. Chest. 2001 Jan; 119(1):219-23. PMID: 11157607.
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      60. Kindler CH, Verotta D, Gray AT, Gropper MA, Yost CS. Additive inhibition of nicotinic acetylcholine receptors by corticosteroids and the neuromuscular blocking drug vecuronium. Anesthesiology. 2000 Mar; 92(3):821-32. PMID: 10719961.
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      61. Kurahashi K, Kajikawa O, Sawa T, Ohara M, Gropper MA, Frank DW, Martin TR, Wiener-Kronish JP. Pathogenesis of septic shock in Pseudomonas aeruginosa pneumonia. J Clin Invest. 1999 Sep; 104(6):743-50. PMID: 10491409; PMCID: PMC408437.
      62. Sawa T, Yahr TL, Ohara M, Kurahashi K, Gropper MA, Wiener-Kronish JP, Frank DW. Active and passive immunization with the Pseudomonas V antigen protects against type III intoxication and lung injury. Nat Med. 1999 Apr; 5(4):392-8. PMID: 10202927.
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      63. Sawa T, Kurahashi K, Ohara M, Gropper MA, Doshi V, Larrick JW, Wiener-Kronish JP. Evaluation of antimicrobial and lipopolysaccharide-neutralizing effects of a synthetic CAP18 fragment against Pseudomonas aeruginosa in a mouse model. Antimicrob Agents Chemother. 1998 Dec; 42(12):3269-75. PMID: 9835525; PMCID: PMC106033.
      64. Sawa T, Ohara M, Kurahashi K, Twining SS, Frank DW, Doroques DB, Long T, Gropper MA, Wiener-Kronish JP. In vitro cellular toxicity predicts Pseudomonas aeruginosa virulence in lung infections. Infect Immun. 1998 Jul; 66(7):3242-9. PMID: 9632591; PMCID: PMC108338.
      65. Wiener-Kronish JP, Gropper MA. Halogenated anesthetics and the injured lung: clouds on the horizon? Anesthesiology. 1998 Jun; 88(6):1435-6. PMID: 9637634.
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      66. Ohara M, Sawa T, Kurahashi K, Wiener-Kronish JP, Doshi V, Kudoh I, Gropper MA. Induction of cyclooxygenase-2 in alveolar macrophages after acid aspiration: selective cyclooxygenase-2 blockade reduces interleukin-6 production. Anesthesiology. 1998 Apr; 88(4):1014-22. PMID: 9579511.
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      67. Sawa T, Corry DB, Gropper MA, Ohara M, Kurahashi K, Wiener-Kronish JP. IL-10 improves lung injury and survival in Pseudomonas aeruginosa pneumonia. J Immunol. 1997 Sep 15; 159(6):2858-66. PMID: 9300709.
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      68. Umenishi F, Verkman AS, Gropper MA. Quantitative analysis of aquaporin mRNA expression in rat tissues by RNase protection assay. DNA Cell Biol. 1996 Jun; 15(6):475-80. PMID: 8672243.
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      69. Sawa T, Miyazaki H, Pittet JF, Widdicombe JH, Gropper MA, Hashimoto S, Conrad DJ, Folkesson HG, Debs R, Forsayeth JR, Fox B, Wiener-Kronish JP. Intraluminal water increases expression of plasmid DNA in rat lung. Hum Gene Ther. 1996 May 20; 7(8):933-41. PMID: 8727507.
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      70. Frigeri A, Gropper MA, Umenishi F, Kawashima M, Brown D, Verkman AS. Localization of MIWC and GLIP water channel homologs in neuromuscular, epithelial and glandular tissues. J Cell Sci. 1995 Sep; 108 ( Pt 9):2993-3002. PMID: 8537439.
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      71. Frigeri A, Gropper MA, Turck CW, Verkman AS. Immunolocalization of the mercurial-insensitive water channel and glycerol intrinsic protein in epithelial cell plasma membranes. Proc Natl Acad Sci U S A. 1995 May 9; 92(10):4328-31. PMID: 7538665; PMCID: PMC41937.
      72. Gropper MA, Wiener-Kronish JP, Hashimoto S. Acute cardiogenic pulmonary edema. Clin Chest Med. 1994 Sep; 15(3):501-15. PMID: 7982344.
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      73. Raj JU, Hillyard R, Kaapa P, Anderson J, Gropper M. Pulmonary vascular pressure profile in 2-3-week-old, 5-6-week-old and adult ferrets. Respir Physiol. 1990 Dec; 82(3):307-15. PMID: 2080320.
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      74. Raj JU, Hillyard R, Kaapa P, Gropper M, Anderson J. Pulmonary arterial and venous constriction during hypoxia in 3- to 5-wk-old and adult ferrets. J Appl Physiol (1985). 1990 Dec; 69(6):2183-9. PMID: 2077015.
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      75. Wiener-Kronish JP, Gropper MA, Matthay MA. The adult respiratory distress syndrome: definition and prognosis, pathogenesis and treatment. Br J Anaesth. 1990 Jul; 65(1):107-29. PMID: 2200479.
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      76. Tanita T, Gropper MA, Staub NC, Koike K, Nakada T. [Estimation of the filtration variables in the rat lung]. Nihon Kyobu Shikkan Gakkai Zasshi. 1989 Oct; 27(10):1168-72. PMID: 2615069.
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      77. Bhattacharya J, Gropper MA, Shepard JM. Lung expansion and the perialveolar interstitial pressure gradient. J Appl Physiol (1985). 1989 Jun; 66(6):2600-5. PMID: 2745322.
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      78. Wiener-Kronish JP, Broaddus VC, Albertine KH, Gropper MA, Matthay MA, Staub NC. Relationship of pleural effusions to increased permeability pulmonary edema in anesthetized sheep. J Clin Invest. 1988 Oct; 82(4):1422-9. PMID: 3170750; PMCID: PMC442700.
      79. Berthiaume Y, Broaddus VC, Gropper MA, Tanita T, Matthay MA. Alveolar liquid and protein clearance from normal dog lungs. J Appl Physiol (1985). 1988 Aug; 65(2):585-93. PMID: 3170409.
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      80. Gropper MA, Bhattacharya J, Staub NC. Filtration profile in isolated zone 1 and zone 3 dog lungs at constant high alveolar pressure. J Appl Physiol (1985). 1988 Jul; 65(1):343-9. PMID: 3403479.
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      81. Shepard JM, Gropper MA, Nicolaysen G, Staub NC, Bhattacharya J. Lung microvascular pressure profile measured by micropuncture in anesthetized dogs. J Appl Physiol (1985). 1988 Feb; 64(2):874-9. PMID: 3372444.
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      82. Findell PR, Mulchahey JJ, Shepard JM, Gropper MA, Battacharya J, Weiner RI. Direct measurement of blood pressure within the long hypophysial portal blood vessels. Neuroendocrinology. 1987 Apr; 45(4):263-6. PMID: 3574605.
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      83. Wiener-Kronish JP, Gropper MA, Lai-Fook SJ. Pleural liquid pressure in dogs measured using a rib capsule. J Appl Physiol (1985). 1985 Aug; 59(2):597-602. PMID: 4030612.
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      84. Bhattacharya J, Gropper MA, Staub NC. Interstitial fluid pressure gradient measured by micropuncture in excised dog lung. J Appl Physiol Respir Environ Exerc Physiol. 1984 Feb; 56(2):271-7. PMID: 6706738.
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      85. Nagasaka Y, Bhattacharya J, Nanjo S, Gropper MA, Staub NC. Micropuncture measurement of lung microvascular pressure profile during hypoxia in cats. Circ Res. 1984 Jan; 54(1):90-5. PMID: 6692501.
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      86. Conhaim RL, Gropper MA, Staub NC. Effect of lung inflation on alveolar-airway barrier protein permeability in dog lung. J Appl Physiol Respir Environ Exerc Physiol. 1983 Oct; 55(4):1249-56. PMID: 6629958.
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