"Possible TRALI" developed during bilateral total knee arthroplasty replacement: A case report.
10.4097/kjae.2012.62.1.73
- Author:
Youn Jin KIM
1
;
Seok HEO
Author Information
1. Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea. ankyj@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Acute lung injury;
Pulmonary edema;
TRALI;
Transfusion
- MeSH:
Acute Lung Injury;
Anoxia;
Arthroplasty;
Arthroplasty, Replacement, Knee;
Diagnostic Errors;
Erythrocytes;
Heart Failure;
Knee;
Pulmonary Edema
- From:Korean Journal of Anesthesiology
2012;62(1):73-78
- CountryRepublic of Korea
- Language:English
-
Abstract:
Transfusion-related acute lung injury (TRALI) is one of the leading causes of transfusion-related morbidity and mortality. However, it is frequently not diagnosed and under-reported, which could result in inappropriate treatment. Diagnostic definition for TRALI consists of hypoxia and bilateral pulmonary edema occurring during or within 6 hours of a transfusion in the absence of cardiac failure or intravascular volume overload. Here, we report a fatal case, which resulted from under-recognition and misdiagnosis of TRALI occurring during transfusion with packed red blood cells during a bilateral total knee replacement.
