Description of parallel and sequential configurations for concurrent therapeutic plasma exchange and continuous kidney replacement therapy in adults
| Autor: | Li Choo Ng, Manish Kaushik, Ling Cao, Thinesh Lee Krishnamoorthy, Riece Koniman, Su Hooi Teo, Zhong Hong Liew, Han Khim Tan, Ghee Chee Phua, Duu-Wen Sewa, S.I.N:G.A.P.O.R.E Initiative, Amy Ee Lin Lim, Shin Yi Ng |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Critically ill Hematology General Medicine 030204 cardiovascular system & hematology Technical specifications 03 medical and health sciences 0302 clinical medicine Kidney Replacement Therapy Medicine Separation method Disease process Therapeutic plasma exchange business Intensive care medicine 030215 immunology |
| Zdroj: | Journal of Clinical Apheresis. 36:211-218 |
| ISSN: | 1098-1101 0733-2459 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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