Severe transfusion-related acute lung injury managed with extracorporeal membrane oxygenation (ECMO) in an obstetric patient.
Transfusion-related acute lung injury (TRALI) is the leading cause of transfusion-related mortality in the United States. Management is usually supportive, including supplemental oxygen, intravenous fluids, and mechanical ventilation if necessary. Most patients recover within 72 hours. We present a nearly fatal case of TRALI in an obstetric patient, which was successfully managed with extracorporeal membrane oxygenation (ECMO).
Lee
Allison J
AJ
Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Leonard L. Miller School of Medicine, Miami, FL, USA. alee33140@aol.com
Koyyalamudi
Pushpa L
PL
Martinez-Ruiz
Ricardo
R
D055371:Acute Lung Injury / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002302:Cardiac Output / Q000187:drug effects; D017604:Cesarean Section, Repeat; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D006801:Humans; D010100:Oxygen / Q000008:administration & dosage*; D011247:Pregnancy; D011859:Radiography; D012129:Respiratory Function Tests; D013997:Time Factors; D065227:Transfusion Reaction; D016896:Treatment Outcome; D055815:Young Adult
D010100:Oxygen