Transfusion related acute lung injury
Transfusion related acute lung injury (TRALI) is defined as non-cardiogenic pulmonary oedema temporally related to transfusion therapy.
It tends to occur within 6 hours after a blood transfusion and requires exclusion of other alternative diagnoses such as sepsis, volume overload.
Shows features of pulmonary oedema which can progress to the alveolar and interstitial infiltrates. The lung opacities usually clear within 96 hours in 80% of patients.
Treatment and prognosis
It tends to be self-limiting and treatment is supportive, with a prognosis substantially better than most causes of clinical acute lung injury.
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