Shiny K. Kajal/LinkedIn
Feb 23, 2026, 17:56
Shiny K Kajal: The Transfusion Reaction We Often Miss
Shiny K Kajal, Senior Resident at Adesh University, shared a post on LinkedIn:
“TRALI: The Transfusion Reaction We Often Miss
Not every post-transfusion hypoxia is ARDS.
Not every pulmonary infiltrate is fluid overload.
Sometimes… it’s TRALI.
Transfusion-Related Acute Lung Injury remains:
- Underdiagnosed
- Underreported
- Frequently confused with TACO, pneumonia or sepsis
The challenge? There’s no single diagnostic test. It’s a clinical diagnosis that depends on one critical factor — suspicion within 6 hours of transfusion.
In critically ill patients, TRALI easily blends into the background illness. And when we miss it, we miss the opportunity to prevent recurrence from the same donor.
- 6 hours.
- Bilateral infiltrates.
- Recent transfusion.
Think TRALI. Report TRALI. Prevent TRALI.”
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