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Acute lung injury during and following administration of blood product

MedGen UID:
679226
•Concept ID:
C0948343
•
Disease or Syndrome
Synonyms: Acute Lung Injury, Transfusion Related; Acute Lung Injury, Transfusion-Related; TRALI; Transfusion Related Acute Lung Injury; Transfusion-Related Acute Lung Injury
SNOMED CT: TRALI - Transfusion related acute lung injury (733054008); Transfusion related acute lung injury (733054008); Acute lung injury during and following administration of blood product (733054008)

Definition

A rare but serious transfusion-related reaction in which fluid builds up in the lungs unrelated to excessively high infusion rate and/or volume (TRANSFUSION-ASSOCIATED CIRCULATORY OVERLOAD). Signs of Transfusion-Related Acute Lung Injury include pulmonary secretions; hypotension; fever; DYSPNEA; TACHYPNEA; TACHYCARDIA; and CYANOSIS. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAcute lung injury during and following administration of blood product

Professional guidelines

PubMed

Update on transfusion-related acute lung injury: an overview of its pathogenesis and management.
Yu Y, Lian Z
Front Immunol 2023;14:1175387. Epub 2023 May 12 doi: 10.3389/fimmu.2023.1175387. PMID: 37251400Free PMC Article
AGA Clinical Practice Update: Coagulation in Cirrhosis.
O'Leary JG, Greenberg CS, Patton HM, Caldwell SH
Gastroenterology 2019 Jul;157(1):34-43.e1. Epub 2019 Apr 12 doi: 10.1053/j.gastro.2019.03.070. PMID: 30986390
Pediatric acute respiratory distress syndrome: consensus recommendations from the Pediatric Acute Lung Injury Consensus Conference.
Pediatric Acute Lung Injury Consensus Conference Group
Pediatr Crit Care Med 2015 Jun;16(5):428-39. doi: 10.1097/PCC.0000000000000350. PMID: 25647235Free PMC Article

Recent clinical studies

Etiology

AGA Clinical Practice Update: Coagulation in Cirrhosis.
O'Leary JG, Greenberg CS, Patton HM, Caldwell SH
Gastroenterology 2019 Jul;157(1):34-43.e1. Epub 2019 Apr 12 doi: 10.1053/j.gastro.2019.03.070. PMID: 30986390
Noninfectious transfusion-associated adverse events and their mitigation strategies.
Goel R, Tobian AAR, Shaz BH
Blood 2019 Apr 25;133(17):1831-1839. Epub 2019 Feb 26 doi: 10.1182/blood-2018-10-833988. PMID: 30808635
Adverse Effects of Immunoglobulin Therapy.
Guo Y, Tian X, Wang X, Xiao Z
Front Immunol 2018;9:1299. Epub 2018 Jun 8 doi: 10.3389/fimmu.2018.01299. PMID: 29951056Free PMC Article
Pediatric acute respiratory distress syndrome: consensus recommendations from the Pediatric Acute Lung Injury Consensus Conference.
Pediatric Acute Lung Injury Consensus Conference Group
Pediatr Crit Care Med 2015 Jun;16(5):428-39. doi: 10.1097/PCC.0000000000000350. PMID: 25647235Free PMC Article
Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial.
Holcomb JB, Tilley BC, Baraniuk S, Fox EE, Wade CE, Podbielski JM, del Junco DJ, Brasel KJ, Bulger EM, Callcut RA, Cohen MJ, Cotton BA, Fabian TC, Inaba K, Kerby JD, Muskat P, O'Keeffe T, Rizoli S, Robinson BR, Scalea TM, Schreiber MA, Stein DM, Weinberg JA, Callum JL, Hess JR, Matijevic N, Miller CN, Pittet JF, Hoyt DB, Pearson GD, Leroux B, van Belle G; PROPPR Study Group
JAMA 2015 Feb 3;313(5):471-82. doi: 10.1001/jama.2015.12. PMID: 25647203Free PMC Article

Diagnosis

A consensus redefinition of transfusion-related acute lung injury.
Vlaar APJ, Toy P, Fung M, Looney MR, Juffermans NP, Bux J, Bolton-Maggs P, Peters AL, Silliman CC, Kor DJ, Kleinman S
Transfusion 2019 Jul;59(7):2465-2476. Epub 2019 Apr 16 doi: 10.1111/trf.15311. PMID: 30993745Free PMC Article
Transfusion-associated circulatory overload and transfusion-related acute lung injury.
Semple JW, Rebetz J, Kapur R
Blood 2019 Apr 25;133(17):1840-1853. Epub 2019 Feb 26 doi: 10.1182/blood-2018-10-860809. PMID: 30808638
Noninfectious transfusion-associated adverse events and their mitigation strategies.
Goel R, Tobian AAR, Shaz BH
Blood 2019 Apr 25;133(17):1831-1839. Epub 2019 Feb 26 doi: 10.1182/blood-2018-10-833988. PMID: 30808635
TACO and TRALI: biology, risk factors, and prevention strategies.
Roubinian N
Hematology Am Soc Hematol Educ Program 2018 Nov 30;2018(1):585-594. Epub 2018 Dec 14 doi: 10.1182/asheducation-2018.1.585. PMID: 30570487Free PMC Article
Adverse Effects of Immunoglobulin Therapy.
Guo Y, Tian X, Wang X, Xiao Z
Front Immunol 2018;9:1299. Epub 2018 Jun 8 doi: 10.3389/fimmu.2018.01299. PMID: 29951056Free PMC Article

Therapy

AGA Clinical Practice Update: Coagulation in Cirrhosis.
O'Leary JG, Greenberg CS, Patton HM, Caldwell SH
Gastroenterology 2019 Jul;157(1):34-43.e1. Epub 2019 Apr 12 doi: 10.1053/j.gastro.2019.03.070. PMID: 30986390
Transfusion-associated circulatory overload and transfusion-related acute lung injury.
Semple JW, Rebetz J, Kapur R
Blood 2019 Apr 25;133(17):1840-1853. Epub 2019 Feb 26 doi: 10.1182/blood-2018-10-860809. PMID: 30808638
Adverse Effects of Immunoglobulin Therapy.
Guo Y, Tian X, Wang X, Xiao Z
Front Immunol 2018;9:1299. Epub 2018 Jun 8 doi: 10.3389/fimmu.2018.01299. PMID: 29951056Free PMC Article
Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial.
Holcomb JB, Tilley BC, Baraniuk S, Fox EE, Wade CE, Podbielski JM, del Junco DJ, Brasel KJ, Bulger EM, Callcut RA, Cohen MJ, Cotton BA, Fabian TC, Inaba K, Kerby JD, Muskat P, O'Keeffe T, Rizoli S, Robinson BR, Scalea TM, Schreiber MA, Stein DM, Weinberg JA, Callum JL, Hess JR, Matijevic N, Miller CN, Pittet JF, Hoyt DB, Pearson GD, Leroux B, van Belle G; PROPPR Study Group
JAMA 2015 Feb 3;313(5):471-82. doi: 10.1001/jama.2015.12. PMID: 25647203Free PMC Article
Transfusion of blood and blood products: indications and complications.
Sharma S, Sharma P, Tyler LN
Am Fam Physician 2011 Mar 15;83(6):719-24. PMID: 21404983

Prognosis

Update on transfusion-related acute lung injury: an overview of its pathogenesis and management.
Yu Y, Lian Z
Front Immunol 2023;14:1175387. Epub 2023 May 12 doi: 10.3389/fimmu.2023.1175387. PMID: 37251400Free PMC Article
Transfusion-associated circulatory overload and transfusion-related acute lung injury.
Semple JW, Rebetz J, Kapur R
Blood 2019 Apr 25;133(17):1840-1853. Epub 2019 Feb 26 doi: 10.1182/blood-2018-10-860809. PMID: 30808638
Adverse Effects of Immunoglobulin Therapy.
Guo Y, Tian X, Wang X, Xiao Z
Front Immunol 2018;9:1299. Epub 2018 Jun 8 doi: 10.3389/fimmu.2018.01299. PMID: 29951056Free PMC Article
Pediatric acute respiratory distress syndrome: consensus recommendations from the Pediatric Acute Lung Injury Consensus Conference.
Pediatric Acute Lung Injury Consensus Conference Group
Pediatr Crit Care Med 2015 Jun;16(5):428-39. doi: 10.1097/PCC.0000000000000350. PMID: 25647235Free PMC Article
Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial.
Holcomb JB, Tilley BC, Baraniuk S, Fox EE, Wade CE, Podbielski JM, del Junco DJ, Brasel KJ, Bulger EM, Callcut RA, Cohen MJ, Cotton BA, Fabian TC, Inaba K, Kerby JD, Muskat P, O'Keeffe T, Rizoli S, Robinson BR, Scalea TM, Schreiber MA, Stein DM, Weinberg JA, Callum JL, Hess JR, Matijevic N, Miller CN, Pittet JF, Hoyt DB, Pearson GD, Leroux B, van Belle G; PROPPR Study Group
JAMA 2015 Feb 3;313(5):471-82. doi: 10.1001/jama.2015.12. PMID: 25647203Free PMC Article

Clinical prediction guides

Accuracy of Diagnosing Heparin-Induced Thrombocytopenia.
Larsen EL, Nilius H, Studt JD, Tsakiris DA, Greinacher A, Mendez A, Schmidt A, Wuillemin WA, Gerber B, Vishnu P, Graf L, Kremer Hovinga JA, Goetze JP, Bakchoul T, Nagler M
JAMA Netw Open 2024 Mar 4;7(3):e243786. doi: 10.1001/jamanetworkopen.2024.3786. PMID: 38530310Free PMC Article
Mechanism and intervention of murine transfusion-related acute lung injury caused by anti-CD36 antibodies.
Chen DW, Kang T, Xu XZ, Xia WJ, Ye X, Wu YB, Xu YR, Liu J, Ren H, Deng J, Chen YK, Ding HQ, Aslam M, Zelek WM, Morgan BP, Kapur R, Santoso S, Fu YS
JCI Insight 2023 Mar 22;8(6) doi: 10.1172/jci.insight.165142. PMID: 36809299Free PMC Article
AGA Clinical Practice Update: Coagulation in Cirrhosis.
O'Leary JG, Greenberg CS, Patton HM, Caldwell SH
Gastroenterology 2019 Jul;157(1):34-43.e1. Epub 2019 Apr 12 doi: 10.1053/j.gastro.2019.03.070. PMID: 30986390
Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock.
Sperry JL, Guyette FX, Brown JB, Yazer MH, Triulzi DJ, Early-Young BJ, Adams PW, Daley BJ, Miller RS, Harbrecht BG, Claridge JA, Phelan HA, Witham WR, Putnam AT, Duane TM, Alarcon LH, Callaway CW, Zuckerbraun BS, Neal MD, Rosengart MR, Forsythe RM, Billiar TR, Yealy DM, Peitzman AB, Zenati MS; PAMPer Study Group
N Engl J Med 2018 Jul 26;379(4):315-326. doi: 10.1056/NEJMoa1802345. PMID: 30044935
Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial.
Holcomb JB, Tilley BC, Baraniuk S, Fox EE, Wade CE, Podbielski JM, del Junco DJ, Brasel KJ, Bulger EM, Callcut RA, Cohen MJ, Cotton BA, Fabian TC, Inaba K, Kerby JD, Muskat P, O'Keeffe T, Rizoli S, Robinson BR, Scalea TM, Schreiber MA, Stein DM, Weinberg JA, Callum JL, Hess JR, Matijevic N, Miller CN, Pittet JF, Hoyt DB, Pearson GD, Leroux B, van Belle G; PROPPR Study Group
JAMA 2015 Feb 3;313(5):471-82. doi: 10.1001/jama.2015.12. PMID: 25647203Free PMC Article

Recent systematic reviews

Priorities for Clinical Research in Pediatric Extracorporeal Membrane Oxygenation Anticoagulation From the Pediatric Extracorporeal Membrane Oxygenation Anticoagulation CollaborativE Consensus Conference.
Muszynski JA, Bembea MM, Gehred A, Lyman E, Cashen K, Cheifetz IM, Dalton HJ, Himebauch AS, Karam O, Moynihan KM, Nellis ME, Ozment C, Raman L, Rintoul NE, Said A, Saini A, Steiner ME, Thiagarajan RR, Watt K, Willems A, Zantek ND, Barbaro RP, Steffen K, Vogel AM, Alexander PMA; Pediatric Extracorporeal Membrane Oxygenation (ECMO) Anticoagulation CollaborativE (PEACE), in collaboration with the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network, the Pediatric Critical Care Blood Research Network (BloodNet), and the Pediatric ECMO subgroup of PALISI and the Extracorporeal Life Support Organization (PediECMO)
Pediatr Crit Care Med 2024 Jul 1;25(7 Suppl 1):e78-e89. Epub 2024 Jul 3 doi: 10.1097/PCC.0000000000003488. PMID: 38959362Free PMC Article
The incidence of transfusion-related acute lung injury using active surveillance: A systematic review and meta-analysis.
White SK, Walker BS, Schmidt RL, Metcalf RA
Transfusion 2024 Feb;64(2):289-300. Epub 2023 Dec 20 doi: 10.1111/trf.17688. PMID: 38116828
Effect of Blood Donor Characteristics on Transfusion Outcomes: A Systematic Review and Meta-Analysis.
Chassé M, McIntyre L, English SW, Tinmouth A, Knoll G, Wolfe D, Wilson K, Shehata N, Forster A, van Walraven C, Fergusson DA
Transfus Med Rev 2016 Apr;30(2):69-80. Epub 2016 Feb 9 doi: 10.1016/j.tmrv.2016.01.002. PMID: 26920039
Prolonged storage of packed red blood cells for blood transfusion.
Martí-Carvajal AJ, Simancas-Racines D, Peña-González BS
Cochrane Database Syst Rev 2015 Jul 14;2015(7):CD009330. doi: 10.1002/14651858.CD009330.pub2. PMID: 26171902Free PMC Article
Male-predominant plasma transfusion strategy for preventing transfusion-related acute lung injury: a systematic review.
Schmickl CN, Mastrobuoni S, Filippidis FT, Shah S, Radic J, Murad MH, Toy P, Gajic O
Crit Care Med 2015 Jan;43(1):205-25. doi: 10.1097/CCM.0000000000000675. PMID: 25514705

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