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Transfusion-related acute lung injury (TRALI): a report of two pediatric cases
Işil Yildirim1, Mehmet Sah Ipek, Pelin Zorlu
1Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
Insights
Transfusion-related acute lung injury (TRALI) is a serious transfusion reaction. Prompt recognition and understanding of TRALI are crucial for reducing patient harm.
Area of Science:
- Hematology
- Critical Care Medicine
- Pediatric Pulmonology
Background:
- Transfusion-related acute lung injury (TRALI) is a severe, potentially fatal complication of blood product transfusion.
- TRALI necessitates inclusion in the differential diagnosis for patients experiencing acute respiratory distress post-transfusion.
Observation:
- Presents two pediatric cases of TRALI.
- Highlights the clinical presentation of TRALI in children.
Findings:
- Discusses the diagnostic criteria for TRALI.
- Explores the underlying pathophysiology of TRALI.
- Reviews current treatment strategies for TRALI.
Implications:
- Emphasizes the importance of heightened awareness and timely diagnosis of TRALI.
- Underscores the need for improved understanding to mitigate TRALI-associated morbidity and mortality.
- Informs clinical practice regarding transfusion safety and adverse event management.
Abstract:
Transfusion-related acute lung injury (TRALI) is a life-threatening adverse effect of transfusion that should be considered in the differential diagnosis of all patients who develop respiratory distress during or within 6 h of transfusion. Two children with TRALI are presented and the diagnosis, pathophysiology, treatment, and need for understanding and recognition to reduce morbidity and mortality are discussed.
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