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VOLUME 18 , ISSUE 6 ( June, 2014 ) > List of Articles


Transfusion associated circulatory overload

Naveen Agnihotri, Ajju Agnihotri

Keywords : Blood transfusion, blood transfusion reaction, risk factors, transfusion associated circulatory overload

Citation Information : Agnihotri N, Agnihotri A. Transfusion associated circulatory overload. Indian J Crit Care Med 2014; 18 (6):396-398.

DOI: 10.4103/0972-5229.133938

License: CC BY-ND 3.0

Published Online: 01-04-2006

Copyright Statement:  Copyright © 2014; The Author(s).


Transfusion associated circulatory overload (TACO) is an established, but grossly under diagnosed and underreported complication of blood transfusion. We present the case of a 46-year-old diabetic and hypertensive patient admitted to our hospital for recurrent episodes of urinary retention. Over initial 3 days of the admission, the patient received multiple units of packed red blood cells (RBC) and fresh frozen plasma, uneventfully. However, the patient developed signs and symptoms suggestive of TACO with only small amount of the 4 th unit of RBC. The patient had to be shifted to the Intensive Care Unit for further management of this complication. Etiology of TACO is more complex than a mere circulatory overload and is still not completely understood. TACO leads to a prolonged hospital stay and morbidity in the patients developing this complication. TACO thus needs to be suspected in patients at risk for this complication.

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