Prone Positioning in Neurologically Deceased Potential Organ Donors to Improve Donor Lung Function and Lung Transplant Recipient Outcomes

Inclusion Criteria: 1. Age ≥ 18 years 2. Neurological determination of death at time of study entry 3. Consent to organ donation 4. Eligible for organ donation as confirmed by Trillium Gift of Life Network Coordinator Exclusion Criteria: 1. Open chest or abdominal wounds on the ventral body surface 2. Absolute contraindication to lung transplantation on initial eligibility screening: * Infection i. Positive HIV, HbsAg, Human T-lymphotropic virus-I/II test results ii. Positive West Nile Virus (WNV PCR) test results iii. Rabies diagnosis or within the last 6 months bitten by an animal proven to have rabies iv. Active endocarditis v. Active encephalitis or meningitis of unknown etiology vi. Active disseminated tuberculosis vii. Viral hemorrhagic fever including Ebola or known exposure to person with Ebola viii. COVID-19 presumptive or confirmed positive in the last 14 days * Malignancy i. Donors with active cancer (donors receiving chemotherapy or radiation therapy or palliative cancer care within the last 5 years); excluding skin and primary brain tumors and prostate cancers. ii. Donors with a history of the following malignancies: * Lung Cancer * Choriocarcinoma * Breast Cancer * Colon Cancer within the last 10 years iii. Donors with active or past history of melanoma o Clinician decision that prone position is contraindicated