TRALI
TREATMENT: Once TRALI is actually recognized (which, as we have noted, is sometimes tricky), treatment is fairly straightforward, but nonspecific.
TRALI is treated in a supportive manner, though rapid and aggressive respiratory support (including intubation) may be necessary. These patients generally do not respond to steroids, and though TRALI's presentation may mimic volume overload, diuretics do not affect the process, either. Most patients respond well to respiratory support, with approximately 75 to 95% of people not only surviving but recovering completely in 72 hours (that number is usually closer to 95% than 75%, by the way).
OK, that was pretty boring! Let's wade back into the good stuff and discuss the prevention of future episodes of TRALI.
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