Description of parallel and sequential configurations for concurrent therapeutic plasma exchange and continuous kidney replacement therapy in adults.

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Názov: Description of parallel and sequential configurations for concurrent therapeutic plasma exchange and continuous kidney replacement therapy in adults.
Autori: Kaushik M; Department of Renal Medicine, Singapore General Hospital, SingHealth-Duke Academic Medical Centre, Singapore, Singapore., Liew ZH; Department of Renal Medicine, Singapore General Hospital, SingHealth-Duke Academic Medical Centre, Singapore, Singapore., Sewa DW; Department of Respiratory and Critical Care Medicine, Singapore General Hospital, SingHealth-Duke Academic Medical Centre, Singapore, Singapore., Phua GC; Department of Respiratory and Critical Care Medicine, Singapore General Hospital, SingHealth-Duke Academic Medical Centre, Singapore, Singapore., Cao L; Department of Hematology, Singapore General Hospital, Singapore, Singapore., Krishnamoorthy TL; Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore, Singapore., Ng SY; Department of Anesthesia and Surgical Intensive Care, SingHealth-Duke Academic Medical Centre, Singapore, Singapore., Lim AEL; Department of Renal Medicine, Singapore General Hospital, SingHealth-Duke Academic Medical Centre, Singapore, Singapore., Ng LC; Department of Renal Medicine, Singapore General Hospital, SingHealth-Duke Academic Medical Centre, Singapore, Singapore., Koniman R; Department of Renal Medicine, Singapore General Hospital, SingHealth-Duke Academic Medical Centre, Singapore, Singapore., Teo SH; Department of Renal Medicine, Singapore General Hospital, SingHealth-Duke Academic Medical Centre, Singapore, Singapore., Tan HK; Department of Renal Medicine, Singapore General Hospital, SingHealth-Duke Academic Medical Centre, Singapore, Singapore.
Korporácia: S.I.N:G.A.P.O.R.E Initiative (Science In Nephrology: Growth And Progress Of Research & Education Initiative)
Zdroj: Journal of clinical apheresis [J Clin Apher] 2021 Feb; Vol. 36 (1), pp. 211-218. Date of Electronic Publication: 2020 Nov 21.
Spôsob vydávania: Case Reports; Journal Article
Jazyk: English
Informácie o časopise: Publisher: Wiley-Liss Country of Publication: United States NLM ID: 8216305 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-1101 (Electronic) Linking ISSN: 07332459 NLM ISO Abbreviation: J Clin Apher Subsets: MEDLINE
Imprint Name(s): Publication: <2005-> : Hoboken, NJ : Wiley-Liss
Original Publication: New York : Liss, c1982-
Výrazy zo slovníka MeSH: Renal Replacement Therapy*, Centrifugation/*methods , Plasma Exchange/*methods, Adult ; Female ; Humans
Abstrakt: 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.
(© 2020 Wiley Periodicals LLC.)
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Contributed Indexing: Keywords: acute liver failure; concurrent; continuous kidney replacement therapy; plasma exchange; tandem; thrombotic thrombocytopenic purpura
Entry Date(s): Date Created: 20201121 Date Completed: 20211108 Latest Revision: 20211108
Update Code: 20250114
DOI: 10.1002/jca.21854
PMID: 33220117
Databáza: MEDLINE
Popis
Abstrakt: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.<br /> (© 2020 Wiley Periodicals LLC.)
ISSN:1098-1101
DOI:10.1002/jca.21854