Abstract
Objective: Transfusion-related acute lung injury (TRALI) is a relatively uncommon complication in patients who undergo plasma-containing blood product transfusion. Despite the cross matching process, TRALI remains the most common cause of mortality associated with transfusion. We describe a case of TRALI in a 24-year-old trauma patient who was successfully cared for on extracorporeal membrane oxygenation (ECMO). Design: Chart review. Setting: Academic medical center with Level 1 Trauma. Patients and participants: Single case from a busy urban trauma center. Interventions: Extracorporeal membrane oxygenation. Conclusion: ECMO has only rarely been successfully used in patients with TRALI; to our knowledge, ours is the first successful report of its use in a trauma patient. Its use in maintaining gas exchange in trauma patients with TRALI should be further investigated.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 40-45 |
| Number of pages | 6 |
| Journal | Critical Care and Shock |
| Volume | 14 |
| Issue number | 2 |
| State | Published - Jul 11 2011 |
Keywords
- Acute lung injury
- ECMO
- Respiratory failure
- TRALI
- Transfusion reaction
- Trauma
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine