hours storage, and 1 of 2 after 168 hours storage. Perfusate pressure was 60 mm Hg with a perfusate pump rate of 70 beats per minute, and perfusate pH was automatically maintained at 7.4 by a CO2 titrator. Woods stressed the importance of hydration of the donor and recipient animals. Without the methyl prednisolone, Woods found vessel fragility to be a problem when storage times were longer than 48 hours. A major simplification to the techniques of hypothermic perfusion storage was made by Johnson and Claes in 1972 with the introduction of an albumin based perfusate. This perfusate eliminated the need for the manufacture of the cryoprecipitated and millipore filtered plasma used by Belzer. The preparation of this perfusate had been laborious and time-consuming, and there was the potential risk from hepatitis virus and cytotoxic antibodies. The absence of lipo-proteins from the perfusate meant that the membrane oxygenator could be eliminated from the perfusion circuit, as there was no need to avoid a perfusate/air interface to prevent precipitation of lipo-proteins. Both workers used the same additives as recommended by Belzer. The solution that Johnson used was prepared by the Blood Products Laboratory (Elstree: England) by extracting heat labile fibrinogen and gamma globulins from plasma to give a plasma protein fraction (PPF) solution. The solution was incubated at 60 °C for 10 hours to inactivate the agent of serum hepatitis. The result was a 45 g/L human albumin solution containing small amounts of gamma and beta globulins which was stable between 0 °C and 30 °C for 5 years. PPF contained 2.2 mmol/L of free fatty acids. Johnson's experiments were mainly concerned with the storage of kidneys that had been damaged by prolonged warm injury. However, in a control group of non-warm injured dog kidneys, Johnson showed that 24-hour preservation was easily achieved when using a PPF perfusate, and he described elsewhere a survivor after 72 hours perfusion and reimplantation with immediate contralateral nephrectomy. With warm injured kidneys, PPF perfusion gave better results than Collins' method, with 6 out of 6 dogs surviving after 40 minutes warm injury and 24-hour storage followed by reimplantation of the kidneys and immediate contralateral nephrectomy. Potassium, magnesium, insulin, glucose, hydrocortisone and ampicillin were added to the PPF solution to provide an energy source and to prevent leakage of intracellular potassium. Perfusate temperature was 6 °C, pressure 40–80 mm Hg, and Po2 200–400 mm Hg. The