Transfusion related acute lung injury with massive pulmonary secretion during cardiac surgery. A case report

A Indo-Caribbean patient undergoing cardiac surgery developed Transfusion Related Acute Lung Injury (TRALI) with massive endobronchial secretion of clear fluid mimicking severe pulmonary edema. Hypoxemia and lung stiffness were so severe that didn’t allow closure of the sternum on completion of surg...

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Detalles Bibliográficos
Autores principales: Teodori, Julien, Rampersad, Kamal, Teodori, Giovanni, Roopchand, Roland, Angelini, Gianni Davide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230644/
https://www.ncbi.nlm.nih.gov/pubmed/24694086
http://dx.doi.org/10.1186/1749-8090-9-64
Descripción
Sumario:A Indo-Caribbean patient undergoing cardiac surgery developed Transfusion Related Acute Lung Injury (TRALI) with massive endobronchial secretion of clear fluid mimicking severe pulmonary edema. Hypoxemia and lung stiffness were so severe that didn’t allow closure of the sternum on completion of surgery. The patient was treated with invasive ventilation, high positive pressure and % FiO2 and aggressive endotracheal suction. After several hours, secretions reduced spontaneously and the patient made an uneventful recovery.

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