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Shiny K Kajal: The Transfusion Reaction We Often Miss
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.”

Shiny K Kajal: The Transfusion Reaction We Often Miss

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