High-Frequency Oscillatory Ventilation for Rescue From Refractory Hypoxemia in a Patient With Transfusion-Related Acute Lung Injury

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 calculate...

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Bibliographic Details
Published in:Respiratory care 2012-05, Vol.57 (5), p.798-801
Main Authors: HUANG, Chin-Hua, HU, Han-Chung, HSIEH, Meng-Jer, HUANG, Ching-Tzu, CHO, Hsiu-Ying, HSIAO, Hsiu-Feng, YANG, Cheng-Ta, TSAI, Ying-Huang, HUANG, Chung-Chi, KAO, Kuo-Chin
Format: Article
Language:English
Subjects:
Acute Lung Injury - diagnosis
Acute Lung Injury - etiology
Acute Lung Injury - therapy
Acute respiratory distress syndrome
Adult
Anemia - therapy
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Artificial respiration
Biological and medical sciences
Blood transfusion
Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis
Care and treatment
Case studies
Complications and side effects
Female
Health aspects
High-Frequency Ventilation
Humans
Hypoxia - diagnosis
Hypoxia - etiology
Hypoxia - therapy
Intensive care medicine
Medical sciences
Transfusion Reaction
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
Citations: Items that this one cites
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Summary: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.
ISSN:0020-1324
1943-3654
DOI:10.4187/respcare.01355