Complications due to transfusion-related acute lung injury: 81-84

W. Droog, S. W. Van Thiel, S. J.Sleeswijk Visser, J. P.T. Rhemrev*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)

Abstract

Background: 

Transfusion-related acute lung injury is an underdiagnosed and potentially lethal complication of blood transfusion. 

Case: 

A patient underwent surgery because of an ectopic pregnancy. During surgery, blood products were administered and within minutes she developed pulmonary edema and hypotension. Treatment included mechanical ventilation, intravenous fluids, antihistamines, inotropic agents, cortisol, and diuretics. It took 4 days for the pulmonary edema to resolve and the patient to recover. Analysis of the donor plasma revealed human leukocyte antigen antibodies against an antigen of the patient. 

Conclusion: 

Although transfusion-related acute lung injury is usually self-limiting and most patients will recover spontaneously, the estimated mortality rate of 5-25% warrants prompt identification and adequate action.

Original languageEnglish
Pages (from-to)560-563
Number of pages4
JournalObstetrics and Gynecology
Volume113
Issue number2 PART 2
DOIs
Publication statusPublished - Feb 2009
Externally publishedYes

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