Kalp cerrahisinde transfüzyon ilişkili akut akciğer hasarı

Kan ve kan ürünlerinin transfüzyonu, akciğer fonksiyonla- rında azalmaya bağlı olarak morbidite ve mortalitede artı- şın nedeni olabilen önemli bir sorundur. Kan transfüzyonu ile ilişkili akut akciğer hasarı nadir olmakla birlikte, ciddi akciğer morbiditesine yol açabilmektedir. Özel bir hasta altgrubu olarak, kardiyak cerrahi, akut akciğer hasarının üç etyolojik etkeninden dolayı kompleks bir medikal duru- mu oluşturur: kardiyopulmoner baypas, mekanik ventilas- yon ve kan transfüzyonu. Bu makalede, Berlin tanımı göz önüne alınarak, kalp cerrahisinde transfüzyona bağlı akut akciğer hasarı incelendi.

Transfusion-related acute lung injury in cardiac surgery

Transfusion of blood and blood products is an important issue which may be cause of increased morbidity and mortality due to reduced pulmonary function. Although blood transfusion-related acute lung injury is uncommon, it may lead to serious pulmonary morbidity. As a special subgroup of patients, cardiac surgery constitutes a complex medical condition due to three etiological factors of acute lung injury: cardiopulmonary bypass, mechanical ventilation and blood transfusion. In this article, we reviewed transfusion-related acute lung injury in cardiac surgery taking the Berlin definition into consideration.

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