Transfusion in the mechanically ventilated patient

AbstractRed blood cell transfusions are a frequent intervention in critically ill patients, including  in those who are receiving mechanical ventilation. Both these interventions can impact negatively on lung function with risks of transfusion-related acute lung injury (TRALI) and other forms of acute respiratory distress syndrome (ARDS). The interactions between transfusion, mechanical ventilation , TRALI and ARDS are complex and other patient-related (e.g., presence of sepsis or shock, disease severity, and hypervolemia) or blood product-related (e.g., presence of antibodies or biologically active mediators) factors also play a role. We propose several strategies targeted at these factors th at may help limit the risks of associated lung injury in critically ill patients being considered for transfusion.
Source: Intensive Care Medicine - Category: Intensive Care Source Type: research