title: High-frequency oscillatory ventilation for rescue from refractory hypoxemia in a patient with transfusion-related acute lung injury.
abstract: Transfusion-related acute lung injury is a serious complication of blood transfusions. Herein is a report on a 32-year-old woman who developed diffuse pulmonary infiltrates and acute respiratory compromise after blood transfusion. Non-cardiogenic pulmonary edema was diagnosed based  on data calculated by the hemodynamic monitoring system, but severe hypoxemia persisted despite conventional pressure-control ventilation with 100% oxygen, low tidal volume, and high PEEP. The refractory hypoxemia was improved by high-frequency oscillatory ventilation. This experience suggests  that high-frequency oscillatory ventilation may be beneficial for patients with transfusion-related acute lung injury and severe refractory hypoxemia.
authors.affiliation: Department of Respiratory Therapy, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
authors.forename: Chin-Hua
authors.initials: CH
authors.lastname: Huang
authors.forename: Han-Chung
authors.initials: HC
authors.lastname: Hu
authors.forename: Meng-Jer
authors.initials: MJ
authors.lastname: Hsieh
authors.forename: Ching-Tzu
authors.initials: CT
authors.lastname: Huang
authors.forename: Hsiu-Ying
authors.initials: HY
authors.lastname: Cho
authors.forename: Hsiu-Feng
authors.initials: HF
authors.lastname: Hsiao
authors.forename: Cheng-Ta
authors.initials: CT
authors.lastname: Yang
authors.forename: Ying-Huang
authors.initials: YH
authors.lastname: Tsai
authors.forename: Chung-Chi
authors.initials: CC
authors.lastname: Huang
authors.forename: Kuo-Chin
authors.initials: KC
authors.lastname: Kao
mesh_terms: D055371:Acute Lung Injury / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D000328:Adult; D000740:Anemia / Q000628:therapy; D005260:Female; D006612:High-Frequency Ventilation; D006801:Humans; D000860:Hypoxia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D065227:Transfusion Reaction