Korean J Anesthesiol.  2012 Jan;62(1):73-78. 10.4097/kjae.2012.62.1.73.

"Possible TRALI" developed during bilateral total knee arthroplasty replacement: A case report

• Kim YJ
• Heo S

• KMID: 2236455
• DOI: http://doi.org/10.4097/kjae.2012.62.1.73

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.

Keyword

Acute lung injury; Pulmonary edema; TRALI; Transfusion

MeSH Terms

Acute Lung Injury
Anoxia
Arthroplasty
Arthroplasty, Replacement, Knee
Diagnostic Errors
Erythrocytes
Heart Failure
Knee
Pulmonary Edema