Two of the AGMs developed acute respiratory distress (measured by oxygen saturation through pulse oximetry, 77%) that progressed over a 24-hour period. Postmortem findings, of alveolar damage with no evidence of congestive heart disease, support the diagnosis of ARDS in AGM1 and AGM2. The authors make note of the health implications of procedure-related complications; however, there is sufficient evidence to support that routine laboratory protocols do not cause ARDS, despite procedural complications. Increases in plasma cytokines, indicative of a cytokine storm, were found in the AGMs that had progressive ARDS.