Peer-reviewed veterinary case report
Acute lung injury risk in dogs after blood transfusions
By Thomovsky, Elizabeth J & Bach, Jonathan·Published in Journal of the American Veterinary Medical Association·2014·Department of Medical Science·View original on PubMed →
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Original publication title: Incidence of acute lung injury in dogs receiving transfusions.
- Species:
- dog
Plain-English summary
A group of 54 dogs receiving blood transfusions were monitored for signs of acute lung injury, which can cause breathing problems. After the transfusions, only 2 dogs (about 3.7%) showed signs of this condition, which is much lower than the rate seen in humans receiving transfusions. The dogs were checked for respiratory issues and underwent tests to rule out heart problems. Overall, the study suggests that while acute lung injury can happen in dogs after transfusions, it occurs less frequently than in humans and at a rate similar to other sick dogs not receiving transfusions.
People also search for: dog blood transfusion side effects · dog breathing problems after transfusion · acute lung injury in dogs
Abstract
OBJECTIVE: To document the existence and incidence of acute lung injury (ie, veterinary acute lung injury [VetALI] per the 2007 consensus definition) in a population of client-owned dogs receiving transfusions for various clinical reasons. DESIGN: Prospective observational study. ANIMALS: 54 client-owned dogs. PROCEDURES: Arterial blood gas analysis was performed for dogs receiving a transfusion (blood and plasma products) at 0 to 12 hours before and 24 to 48 hours after transfusion; dogs also underwent thoracic radiography 0 to 24 hours before and 24 to 48 hours after transfusion. The ratio of PaO2 to fraction of inspired oxygen (FIO2) was calculated. Dogs with posttransfusion radiographic signs of pulmonary infiltrates, a PaO2:FIO2 ratio < 300, or clinical signs of respiratory compromise were suspected of having VetALI and underwent echocardiography to exclude left-sided heart failure. The incidence of VetALI was calculated, and χ(2) tests were used to compare the incidence in study dogs with the historical reported incidence of acute respiratory distress syndrome (ARDS) in ill dogs (not receiving transfusions) and transfusion-related acute lung injury (TRALI) in humans. RESULTS: The incidence of VetALI (2/54 [3.7%]; 95% confidence interval, 0% to 8.73%) in study dogs was significantly less than the reported incidence of TRALI in humans (25%) and not significantly different from the reported incidence of ARDS in ill dogs (10%). CONCLUSIONS AND CLINICAL RELEVANCE: VetALI occurred in dogs that received transfusions at a frequency similar to that previously reported for ARDS in ill dogs that did not receive transfusions.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/24378025/