par Juffermans, Nicole Petra;Aubron, Cécile;Duranteau, Jacques;Vlaar, Alexander Petrus Johannes;Kor, Daryl D.J.;Muszynski, Jennifer J.A.;Spinella, Philip Charles;Vincent, Jean Louis
Référence Intensive care medicine, 46, 12, page (2450-2457)
Publication Publié, 2020-12
Référence Intensive care medicine, 46, 12, page (2450-2457)
Publication Publié, 2020-12
Article révisé par les pairs
Résumé : | Red 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 that may help limit the risks of associated lung injury in critically ill patients being considered for transfusion. |