Bali Journal of Anesthesiology

CASE REPORT
Year
: 2022  |  Volume : 6  |  Issue : 2  |  Page : 119--122

Transfusion-related acute lung injury (TRALI) in post-partum bleeding patient: A case report


Maulydia Maulydia1, Prananda Surya Airlangga1, Mara Imam Taufiq Siregar1, Dewi Rosita Hendriana2 
1 Department of Anesthesiology and Reanimation, Universitas Airlangga, Campus A, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya, Indonesia
2 Faculty of Medicine, Universitas Airlangga, Campus A, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya, Indonesia

Correspondence Address:
Dewi Rosita Hendriana
Faculty of Medicine, Universitas Airlangga, Campus A, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya
Indonesia

Transfusion-related acute lung injury (TRALI) is a rare but fatal complication of blood transfusion. However, it is frequently under-reported and not diagnosed. We reported a 32-year-old pregnant woman at 30/31 gestational weeks who developed acute respiratory distress and hemodynamic instability during transfusion in the post-operative period. Diagnosis of TRALI was made after excluding other possible causes of acute lung injury. We treated the patient with conservative treatment in the obstetrics emergency room based on the initial examination results and scheduled for an elective cesarean section (C-section). Transfusions of packed red blood cells were planned to increase the Hb level. The patient suddenly experienced shortness of breath during the transfusion with a relative risk of 30–36×/min. The patient was given 10 lpm oxygen via a non-rebreathing mask, and oxygen saturation was 86%. The patient’s blood pressure was 88/40 mmHg, and heart rate was 126×/min. The transfusion was immediately stopped. Fluid resuscitation with a crystalloid solution for hemodynamic improvement was given when the patient was intubated. After several treatments, the patient’s condition was getting better. On day 4, hemoglobin level increased to 9.1 mg/dL, hematocrit 27.6%, leukocytes 9.660/µL, and platelets 72,000/µL. Ventilator weaning was done gradually, and the patient was finally extubated on the 5th day of treatment.


How to cite this article:
Maulydia M, Airlangga PS, Siregar MI, Hendriana DR. Transfusion-related acute lung injury (TRALI) in post-partum bleeding patient: A case report.Bali J Anaesthesiol 2022;6:119-122


How to cite this URL:
Maulydia M, Airlangga PS, Siregar MI, Hendriana DR. Transfusion-related acute lung injury (TRALI) in post-partum bleeding patient: A case report. Bali J Anaesthesiol [serial online] 2022 [cited 2022 Jun 26 ];6:119-122
Available from: https://www.bjoaonline.com/article.asp?issn=2549-2276;year=2022;volume=6;issue=2;spage=119;epage=122;aulast=Maulydia;type=0