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transfusion-associated volume overload; transfusion-associated circulatory overload
Etiology:
- hypervolemia associated with volume of transfusion & inability excrete excess fluid
- patients with heart failure &/or renal failure
Clinical manifestations:
- respiratory distress within 6 hours of transfusion [1]
- positive fluid balance
- elevated central venous pressure
Laboratory:
- serum BNP is elevated [1]
Radiology:
- chest X-ray shows pulmonary edema [1]
Differential diagnosis:
- transfusion-related acute lung injury (TRALI)
Related
transfusion-related acute lung injury (TRALI)
General
hypervolemia (extracellular volume overload)
blood transfusion reaction
References
- Medical Knowledge Self Assessment Program (MKSAP) 18,
American College of Physicians, Philadelphia 2018