Transfusion-related acute lung injury
Revision as of 20:56, 4 February 2016 by Rossdonaldson1 (talk | contribs)
Background
- Due to granulocyte recruitment and degranulation within the lung
- More common with FFP and platelet transfusions (extremely rare with pRBC transfusion alone)
- pRBCs do contain residual plasma and can have TRALI
Clinical Features
- ARDS-like symptoms
Differential Diagnosis
Transfusion Reaction Types
- Acute
- Delayed
Diagnosis
- Time Frame: abrupt to within 6 hours of transfusion initiation
Management
- Strop transfusion
- Treat like ARDS
- Avoid diuresis
Disposition
- Bilateral pulmonary infiltrates due to noncardiogenic pulmonary edema within 6h of transfusion