Description of parallel and sequential configurations for concurrent therapeutic plasma exchange and continuous kidney replacement therapy in adults.
J Clin Apher
; 36(1): 211-218, 2021 Feb.
Article
en En
| MEDLINE
| ID: mdl-33220117
ABSTRACT
Therapeutic plasma exchange (TPE) and continuous kidney replacement therapy (CKRT) are extracorporeal therapeutic procedures often implemented in management of patients. Critically ill patients may be afflicted with disease processes that require both TPE and CKRT. Performing TPE discontinuous with CKRT is technically easier, however, it disrupts CKRT and may compromise with CKRT efficiency or hemofilter life. Concurrent TPE with CKRT offers several advantages including simultaneous control of disease process and correction of electrolyte, fluid, and acid-base disturbances that may accompany TPE. Additionally, TPE may be performed by either centrifugation method or membrane plasma separation method. The technical specifications of these methods may influence the methodology of concurrent connections. This report describes and reviews two different approaches to circuit arrangements when establishing concurrent TPE and CKRT.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Intercambio Plasmático
/
Centrifugación
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Terapia de Reemplazo Renal
Límite:
Adult
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Female
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Humans
Idioma:
En
Año:
2021
Tipo del documento:
Article