Acute Lung Damage Associated with Transfusion during Pregnancy
Keywords:
Pregnant women, Blood transfusion, Adult respiratory distress syndrome.Abstract
Introduction: acute lung damage associated with transfusion is a little frequent adverse effect to transfusion; mortality has been estimated between 1-10%. Its diagnosis is clinical and infrequently suspected about. its incidence is low even so.Case report: but two cases presented, hospitalized in the maternal-perinatal care room, with diseases associated to pregnancy, and they were administered blood components, both five hours after the transfusion, presented a clinical syndrome with moderate hypoxemia, and needed ventilation; with this findings and the temporal relation with transfusion, we diagnosed moderate acute transfusion-associated respiratory difficulty syndrome.
Conclusions: The result was the best, with full resolution if the respiratory event. It is important to report both cases due to their onset in pregnant women, a less frequent cause informed about in the medical texts, and the importance of preserving the mother´s and the child´s health, and promote the notification of this adverse reaction to transfusion to the blood bank, in order to strengthen the hemosurveillance system.
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1. Kopko P, Marshall C, MacKenzie M, Holland P, Popovsky M. Transfusion-related acute lung injury report of a clinical look back investigation. JAMA [Internet]. 2002 [citado 3 Feb 2014]; 287: [aprox. 4 p.]. Disponible en: http://jama.jamanetwork.com/article.aspx?articleid=194824
2. Añon JM, García de Lorenzo A, Quintana M, González E, Bruscas MJ. Lesion pulmonar aguda producida por transfusión. Med Intensiva [Internet]. 2010 [citado 3 Feb 2014]; 34(2): [aprox. 10 p.]. Disponible en: http://www.sciencedirect.com/science/article/pii/S0210569109000333
3. Popovsky MA, Moore SB. Diagnostic and pathogenetic consideration sin transfusion-related acute lung injury. Transfusion. 1985; 25:573-7.
4. Moore SB. Transfusion-related acute lung injury (TRALI). Clinical presentation, treatment and prognosis. Crit Care Med [Internet]. 2006 [citado 3 Feb 2014]; 34: [aprox. 4 p.]. Disponible en: http://journals.lww.com/ccmjournal/Abstract/2006/05001/Transfusion_related_acute_lung_injury__TRALI__.5.aspx
5. Comisario R, Estévez S, Silva Blanchet G, Zandomeni JL. Daño Pulmonar Agudo Relacionado A Transfusión Sanguínea. Revista de Posgrado de la VIa Cátedra de Medicina [Internet]. 2009 [citado 3 Feb 2014]; (14): [aprox. 2 p.]. Disponible en: http://scholar.google.com.cu/scholar?hl=es&q=Da%C3%B1o+Pulmonar+Agudo+Relacionado+A+Transfusi%C3%B3n+Sangu%C3%ADnea.++&btnG=&lr=
6. Velásquez-Penagos JA, Jara-Mori T. Daño pulmonar agudo asociado a la transfusión. Reporte de un caso y revisión de la bibliografía. Rev Colomb Obstet Ginecol [Internet]. 2008 Jan./Mar [citado 3 Feb 2014]; 59(1): [aprox. 6 p.]. Disponible en: http://scholar.google.com.cu/scholar?hl=es&q=Da%C3%B1o+pulmonar+agudo+asociado+a+la+transfusi%C3%B3n.+Reporte+de+un+caso.++&btnG=&lr=
7. Marik PE, Corwin HL. Acute lung injury following to transfusion: Expanding the definition. Crit Care Med [Internet]. 2008 [citado 3 Feb 2014]; 36: [aprox. 4 p.]. Disponible en: http://journals.lww.com/ccmjournal/Abstract/2008/11000/Acute_lung_injury_following_blood_transfusion_.20.aspx
8. Silliman CC, Boshkov LK, Mehdizadehkashi Z, Elzi DJ, Dickey WO, Podlosky L, et al. Transfusion-related acute lung injury: Epidemiology and a prospective analysis of etiologic factors. Blood [Internet]. 2003 [citado 3 Feb 2014]; 101: [aprox. 9 p.]. Disponible en: http://bloodjournal.hematologylibrary.org/content/101/2/454.short
9. Vlaar AP, Hofstra JJ, Determann RM. The incidence, risk factors, and outcome of transfusion-related acute lung injury in a cohort of cardiac surgery patients: a prospective nested case control study. Blood [Internet]. 2011 [citado 3 Feb 2014]; 117(16): [aprox. 8 p.]. Disponible en: http://bloodjournal.hematologylibrary.org/content/117/16/4218.short
10. Toy P, Gajic O, Bacchetti P. Transfusion-related acute lung injury: incidence and risk factors. Blood [Internet]. 2012 [citado 3 Feb 2014]; 119 (7): [aprox. 10 p.]. Disponible en: http://bloodjournal.hematologylibrary.org/content/119/7/1757.short
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