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

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Seoul, Korea. ankyj@ewha.ac.kr

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

Cited by  1 articles

A case of transfusion-related acute lung injury induced by anti-human leukocyte antigen antibodies in acute leukemia
Sun Mi Jin, Moon Ju Jang, Ji Young Huh, Myoung Hee Park, Eun Young Song, Doyeun Oh
Korean J Hematol. 2012;47(4):302-306.    doi: 10.5045/kjh.2012.47.4.302.

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