Transfusion-related acute lung injury and treatment with high-flow oxygen therapy in a pediatric patient: a case report
Articles > Article · 2021
Authors: Cengiz ŞAHUTOĞLU, Cansu Balci, Taner Balcioglu
Brazilian Journal of Anesthesiology (English Edition), Journal Indexed in SCI Expanded, International, Scopus, 2021, vol 74, pp 744339-744339
DOI: 10.1016/j.bjane.2021.12.001
Summary
Transfusion-Related Acute Lung Injury (TRALI) is an immune-inflammatory lung pathology that manifests within the first 6-72 hours after administration of blood products. However, due to reduced awareness of TRALI, it continues to be an underreported and often underdiagnosed complication of transfusion therapy. We report a case of a 6-year-old girl with myelodysplastic syndrome and TRALI developed in the first hour after platelet transfusion. Diagnosis of TRALI is based on the exclusion of etiologic factors such as volume overload and cardiogenic pulmonary edema following transfusion. Symptoms responded to high-flow oxygen therapy, so intubation was not attempted and full recovery was achieved.