Anesth Pain Med.  2011 Jul;6(3):275-279.

A suspected case of Transfusion-related acute lung injury in a 30-year old parturient with gestational ITP: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University, Ilsan, Korea. jangpark@paik.ac.kr
  • 2Department of Laboratory Medicine, Ilsan Paik Hospital, Inje University, Ilsan, Korea.
  • 3Department of Laboratory Medicine, Sanggye Paik Hospital, Inje University, Seoul, Korea.

Abstract

Transfusion-related acute lung injury (TRALI) is defined as a new episode of acute lung injury that occurs during or within 6 hours of a completed transfusion, which has been the leading cause of transfusion-related death. We present a suspected case of TRALI in a 30-year-old parturient with gestational ITP scheduled for cesarean section. The parturient developed hypoxemia and pulmonary edema after platelet concentrate transfusion during perioperative period. The parturient completely recovered after an oxygen support for 4 days. It is important to recognize TRALI as soon as possible to minimize perioperative morbidity and mortality.

Keyword

Acute lung injury; Idiopathic thrombocytopenic purpura; Platelet transfusion

MeSH Terms

Acute Lung Injury
Adult
Anoxia
Blood Platelets
Cesarean Section
Female
Humans
Oxygen
Perioperative Period
Platelet Transfusion
Pregnancy
Pulmonary Edema
Purpura, Thrombocytopenic, Idiopathic
Oxygen
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