[A case of transfusion-related acute lung injury following platelet transfusion during the cervical supine surgery].
We report a case of possible transfusion-related acute lung injury (TRALI). The patient is a 69-year-old man who underwent cervical supine surgery Platelet products were transfused pre-and intra-operatively. At the end of the operation, he was fully awake and extubated. Shortly after extubation he showed low oxygen saturation, and we started bag-mask ventilation. A chest X-ray revealed bilateral diffuse pulmonary edema without cardiac enlargement. Thus we inserted endotracheal tube and started positive pressure assist ventilation. Hypoxemia was improved gradually, and he was re-extubated on the fourth day after the operation. The prevalence of TRALI reactions is reported to be high for platelet product and is influenced by patients' underlying clinical condition. Serum anti-leukocyte antibody was negative, but we suspected the possibility of TRALI based on the clinical findings.
Department of Emergency and General Medicine, Kumamoto University School of Medicine, Kumamoto 860-8556.
Atsushi
A
Kotera
Chiyo
C
Furusho
Kenichiro
K
Taki
Kimiaki
K
Esaki
D055371:Acute Lung Injury / Q000209:etiology*; D000368:Aged; D002574:Cervical Vertebrae / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D008297:Male; D017713:Platelet Transfusion / Q000009:adverse effects*