Korean J Crit Care Med.  2013 May;28(2):141-145. 10.4266/kjccm.2013.28.2.141.

Transfusion-Related Acute Lung Injury after Stored Packed Red Blood Cell Transfusion: A Case Report

• Kim HH
• Lee DK
• Park CY
• Ju JK
• Kim JC

• KMID: 2227862
• DOI: http://doi.org/10.4266/kjccm.2013.28.2.141

Abstract

Transfusion-related acute lung injury (TRALI) is the leading cause of transfusion-related mortalities. Each type of blood product is likely to cause TRALI. Patients with TRALI present with dyspnea/respiratory distress and fever. The symptoms, signs and chest radiological findings in TRALI are similar to transfusion associated circulatory overload. Therefore, it is difficult to distinguish such from circulatory overloads. We report a case of TRALI in a 49-year-old woman after stored packed red blood cell transfusion. The patient developed hypoxemia and pulmonary edema after packed red blood cell transfusion during postoperative period. The patient completely recovered after an oxygen support for 3 days.

Keyword

red blood cell storage duration; transfusion-related acute lung injury

MeSH Terms

Acute Lung Injury
Anoxia
Erythrocyte Transfusion
Erythrocytes
Female
Fever
Humans
Oxygen
Postoperative Period
Pulmonary Edema
Thorax
Oxygen