Transfusion Medicine Basics Series
Transfusion Reactions with Respiratory Distress
Respiratory transfusion reactions occur less frequently than allergic or febrile nonhemolytic transfusion reactions; however, they account for the highest number of transfusion-related fatalities, as actively reported to the FDA in the United States. They are also likely to occur at a rate of five to 10 times more often than are currently being passively reported. Careful assessment of patients before, during, and after transfusion is key to mitigate and treat respiratory transfusion reactions. This case-based educational review of transfusion-associated circulatory overload (TACO) and transfusion-related acute lung injury (TRALI) covers the basics with a practical approach to clinical understanding.
