التفاصيل البيبلوغرافية
| العنوان: |
TRALI following fresh frozen plasma resuscitation from burn shock. |
| المؤلفون: |
Jones, Larry M.1 Larry.jones@osumc.edu, Deluga, Nicholas2 Nicholas.Deluga@osumc.edu, Bhatti, Puneet3 bhatti.16@buckeyemail.osu.edu, Scrape, Scott R.4 Scott.scrape@osumc.edu, Bailey, John K.1 john.bailey@osumc.edu, Coffey, Rebecca A.1 Rebecca.coffey@osumc.edu |
| المصدر: |
Burns (03054179). Mar2017, Vol. 43 Issue 2, p397-402. 6p. |
| مصطلحات موضوعية: |
*BURNS & scalds, *LUNG injuries, *BLOOD transfusion, *FROZEN blood, *RESUSCITATION, *BURNS & scalds complications, *TREATMENT for burns & scalds, *BLOOD plasma, *RED blood cell transfusion, *SHOCK (Pathology), *DISEASE incidence, *RETROSPECTIVE studies, *ACUTE diseases, *THERAPEUTICS |
| مصطلحات جغرافية: |
UNITED States |
| الشركة/الكيان: |
CANADIAN Blood Services |
| مستخلص: |
Introduction: Resuscitation from burn shock using fresh frozen plasma (FFP) has been described. Critics of FFP resuscitation cite the development of transfusion related acute lung injury (TRALI) as a deterrent to its use. This study examines the occurrence of TRALI with FFP resuscitation of critically ill burned patients.Methods: A retrospective chart review was conducted of severely burned patients who received FFP resuscitation. Data points included age, TBSA, TBSA full thickness, presence of alternate etiologies of acute lung injury, total FFP administered, and signs and symptoms of TRALI as defined per the Canadian Blood Services Consensus Conference.Results: Eighty-three patients met the definition of severe burn and received FFP resuscitation. Of those, 65 met exclusion criteria. Eighteen patients were left for analysis with only one found to have signs and symptoms of TRALI. That patient suffered a 53.5% TBSA burn, received a total of 6228ml FFP, had no competing etiologies of ALI, and was diagnosed with TRALI within 6h of completing the FFP transfusion.Conclusion: The possible occurrence of TRALI in burn patients receiving FFP resuscitation should be weighed against the reported benefits of such a resuscitation strategy. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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