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- Chin-Hua Huang, Han-Chung Hu, Meng-Jer Hsieh, Ching-Tzu Huang, Hsiu-Ying Cho, Hsiu-Feng Hsiao, Cheng-Ta Yang, Ying-Huang Tsai, Chung-Chi Huang, and Kuo-Chin Kao.
- Department of Respiratory Therapy, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
- Resp Care. 2012 May 1;57(5):798-801.
AbstractTransfusion-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.
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