Post-massive-transfusion respiratory failure (TRALI vs TACO)

HIGH-YIELD Appears 1×

Teaching point

Acute respiratory distress after transfusion is TRALI when it is non-cardiogenic (normal PCWP/CVP/BNP, no diuretic response) and TACO when it is cardiogenic (raised JVP/BNP, improves with diuretics). After massive transfusion, TRALI is the classic answer.

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