The use of therapeutic plasma exchange for pediatric patients supported on extracorporeal membranous oxygenator therapy: A narrative review
| Autor: | Reut Kassif Lerner, Uri Pollak |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Multiple Organ Failure medicine.medical_treatment MEDLINE 030204 cardiovascular system & hematology Cochrane Library Extracorporeal Sepsis 03 medical and health sciences Extracorporeal Membrane Oxygenation 0302 clinical medicine 030225 pediatrics Heparin-induced thrombocytopenia medicine Coagulopathy Extracorporeal membrane oxygenation Humans Radiology Nuclear Medicine and imaging Child Intensive care medicine Oxygenator Oxygenators Membrane Advanced and Specialized Nursing Plasma Exchange business.industry General Medicine medicine.disease Thrombocytopenia Cardiology and Cardiovascular Medicine business Safety Research |
| Zdroj: | Perfusion. 37:113-122 |
| ISSN: | 1477-111X 0267-6591 |
| Popis: | Therapeutic plasma exchange in children is increasingly recognized as a life-saving treatment and is challenged by some technical considerations. As extracorporeal membrane oxygenation has been used for nearly half a century for refractory reversible respiratory and/or cardiac failure in both pediatric and adult populations, it may serve as an extracorporeal platform for therapeutic plasma exchange. It is most commonly described in patients with sepsis with multiple organ failure or thrombocytopenia associated multi organ failure. Additional pathophysiological processes of inflammatory and immunological storms might benefit from the combination of extracorporeal membrane oxygenation and plasma exchange. This is a nonmethodological review of English-language reports of therapeutic plasma exchange performed in patients supported by extracorporeal membrane oxygenation, both pediatric and adult, searching six databases, MEDLINE, Clinical Key, GOOGLE SCHOLAR, CINAHL, Cochrane library, and EMBASE. |
| Databáze: | OpenAIRE |
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