A system for lung preservation is described. The system includes a cooler at least partially housing a cooling coil, the cooling coil including a proximal end configured to connect to an oxygen source and a distal end configured to connect to endotracheal tubing. The endotracheal tubing is in fluid communication with a conduit extending through the cooling coil. A positive end expiratory pressure valve connected to the endotracheal tubing. A method for preserving a lung and a method for preserving a lung for transportation are also described.