A 50-year-old male presented for a Whipple's procedure to excise a pancreatic lesion. Massive transfusion of packed cells and fresh frozen plasma was required. Towards the end of the procedure, the patient developed sudden onset of frank pulmonary oedema and hypotension. A presumptive diagnosis of transfusion related lung injury was made after prompt investigations excluded circulatory overload or cardiogenic shock as the cause. This case report describes an increasingly common and life-threatening sequela of blood product transfusion, the management of which is complicated by the current lack of specific diagnostic tests.
机构:
Bonfils Blood Ctr, Res Dept, Denver, CO 80230 USA
Univ Colorado Denver, Dept Pediat, Aurora, CO USABonfils Blood Ctr, Res Dept, Denver, CO 80230 USA
Silliman, Christopher C.
Fung, Yoke Lin
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Australian Red Cross Blood Serv, Brisbane, Qld, AustraliaBonfils Blood Ctr, Res Dept, Denver, CO 80230 USA
Fung, Yoke Lin
Ball, J. Bradley
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Univ Colorado Denver, Dept Pediat, Aurora, CO USABonfils Blood Ctr, Res Dept, Denver, CO 80230 USA
Ball, J. Bradley
Khan, Samina Y.
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Univ Colorado Denver, Dept Pediat, Aurora, CO USABonfils Blood Ctr, Res Dept, Denver, CO 80230 USA