KMID : 0356920120620010073
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Korean Journal of Anesthesiology 2012 Volume.62 No. 1 p.73 ~ p.78
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"Possible TRALI" developed during bilateral total knee arthroplasty replacement -A case report-
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Kim Youn-Jin
Heo Seok
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Abstract
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Transfusion-related acute lung injury (TRALI) is one of the leading causes of transfusion-related morbidity and mortality. However, it is frequently not diagnosed and under-reported, which could result in inappropriate treatment. Diagnostic definition for TRALI consists of hypoxia and bilateral pulmonary edema occurring during or within 6 hours of a transfusion in the absence of cardiac failure or intravascular volume overload. Here, we report a fatal case, which resulted from under-recognition and misdiagnosis of TRALI occurring during transfusion with packed red blood cells during a bilateral total knee replacement.
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KEYWORD
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Acute lung injury, Pulmonary edema, TRALI, Transfusion
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