Transfusion Related Lung Injury (TRALI) Medical Algorithm

Are you evaluating a patient who has had a moderate to severe reaction following transfusion of a blood product?

Yes

Does the patient show evidence of acute respiratory insufficiency?

Yes

Number of hours since the blood product was administered

hours

Are the radiographic findings consistent with acute pulmonary edema?

Yes

Does the patient show moderate to severe hypoxemia?

Yes

Does the recipient show any evidence of ...

• myocardial infarction?

Yes

• volume overload?

Yes

• congestive heart failure?

Yes

• pulmonary embolism?

Yes

• an allergic reaction to the blood product?

Yes

Select an appropriate answer for each finding

Testing on patient samples

Testing on donor samples

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Societal Concerns

Specialty

Objective

ICD-10

Transfusion-Related Acute Lung Injury (TRALI)

Purpose: To evaluate a patient who has just received a blood product transfusion for possible transfusion-related acute lung injury (TRALI).