Therapeutic plasma exchange with albumin as a valuable method of preparing thyrotoxic patients for a life‐saving thyroidectomy

2020 ◽  
Author(s):  
Kamila Tańska ◽  
Dorota Leszczyńska ◽  
Piotr Glinicki ◽  
Renata Kapuścińska ◽  
Marek Szczepkowski ◽  
...  
Keyword(s):  
Plasma Exchange ◽  
Therapeutic Plasma Exchange ◽  
Life Saving ◽  
Valuable Method

Therapeutic Plasma Exchange in Neonates and Infants: Successful Use of a Miniaturized Machine

2017 ◽  
Vol 44 (2) ◽  
pp. 100-105 ◽  
Author(s):  
Enrico Vidal ◽  
Francesco Garzotto ◽  
Mattia Parolin ◽  
Chiara Manenti ◽  
Anna Zanin ◽  
...  
Keyword(s):  
Plasma Exchange ◽  
Pediatric Population ◽  
Treatment Method ◽  
Therapeutic Plasma Exchange ◽  
Life Saving ◽  
Blood Exchange ◽  
Blood Exchange Transfusion ◽  
Life Threatening ◽  
Technical Issues ◽  
Neonates And Infants

Therapeutic plasma exchange (TPE) in neonates and small infants is a treatment method at the forefront that may become a potentially life-saving procedure in a wide array of severe conditions. Indications for TPE in the pediatric population have been mainly derived from adult literature, with neonatal hyperbilirubinemia being the most notable exception. The only alternative to TPE in small pediatric patients is manual blood exchange transfusion, which, however, bears an unacceptably high risk of severe complications. Still, technical issues due to extracorporeal circulation in neonates have burdened TPE so far, since machines developed for adults require a relatively large blood volume to operate. We in this study, describe our preliminary experience of TPE for treating 2 potentially life-threatening conditions in neonatal age. To overcome the aforementioned limitations, plasmapheresis was performed in both cases using a machine specifically designed for patients weighing less than 10 kg.

A life-saving therapy in Class I HELLP syndrome: Therapeutic plasma exchange

2015 ◽  
Vol 52 (2) ◽  
pp. 194-198 ◽  
Author(s):  
Mehmet Ali Erkurt ◽  
Ilhami Berber ◽  
Hacı Bayram Berktas ◽  
Irfan Kuku ◽  
Emin Kaya ◽  
...  
Keyword(s):  
Plasma Exchange ◽  
Hellp Syndrome ◽  
Therapeutic Plasma Exchange ◽  
Class I ◽  
Life Saving

scholarly journals Therapeutic plasma exchange: A life-saving modality in Wegener's granulomatosis

2020 ◽  
Vol 14 (2) ◽  
pp. 203
Author(s):  
Tulika Chandra ◽  
Archana Solanki ◽  
Ashutosh Singh ◽  
Abhishek Chauhan ◽  
D Himanshu
Keyword(s):  
Plasma Exchange ◽  
Wegener’S Granulomatosis ◽  
Wegener's Granulomatosis ◽  
Therapeutic Plasma Exchange ◽  
Life Saving

The use of therapeutic plasma exchange for pediatric patients supported on extracorporeal membranous oxygenator therapy: A narrative review

Perfusion ◽  
2020 ◽  
pp. 026765912097432
Author(s):  
Reut Kassif Lerner ◽  
Uri Pollak
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Organ Failure ◽  
Plasma Exchange ◽  
English Language ◽  
Pediatric Patients ◽  
Multiple Organ ◽  
Therapeutic Plasma Exchange ◽  
Cochrane Library ◽  
Membrane Oxygenation ◽  
Life Saving

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.

Therapeutic Plasma Exchange Application in Children Requires Individual Decision

2020 ◽  
Author(s):  
Gürkan Atay ◽  
Demet Demirkol
Keyword(s):  
Plasma Exchange ◽  
Vascular Access ◽  
Pediatric Patients ◽  
Demyelinating Disease ◽  
Pediatric Intensive Care ◽  
Therapeutic Plasma Exchange ◽  
Transplantation Rejection ◽  
Access Problems ◽  
Uremic Syndrome

AbstractTherapeutic plasma exchange (TPE) is a treatment administered with the aim of removing a pathogenic material or compound causing morbidity in a variety of neurologic, hematologic, renal, and autoimmune diseases. In this study, we aimed to assess the indications, efficacy, reliability, complications, and treatment response of pediatric patients for TPE. This retrospective study analyzed data from 39 patients aged from 0 to 18 years who underwent a total of 172 TPE sessions from January 2015 to April 2018 in a tertiary pediatric intensive care unit. Indications for TPE were, in order of frequency, macrophage activation syndrome (28.2%, n = 11), renal transplantation rejection (15.4%, n = 6), liver failure (15.4%, n = 6), Guillain–Barre's syndrome (15%, n = 6), hemolytic uremic syndrome (7.7%, n = 3), acute demyelinating disease (7.7%, n = 3), septic shock (5.1%, n = 2), and intoxication (5.1%, n = 2). No patient had any adverse event related to the TPE during the procedure. The TPE session was ended prematurely in one patient due to insufficient vascular access and lack of blood flow (2.6%). In the long term, thrombosis due to the indwelling central catheter occurred (5.1%, n = 2). TPE appears to be an effective first-stage or supplementary treatment in a variety of diseases, may be safely used in pediatric patients, and there are significant findings that its area of use will increase. In experienced hands and when assessed carefully, it appears that the rate of adverse reactions and vascular access problems may be low enough to be negligible.

Therapeutic plasma exchange in intensive care and intensive nephrology

2018 ◽  
Vol 20 (4) ◽  
pp. 394-403
Author(s):  
M. S. Vetsheva ◽  
◽  
K.E Loss . ◽  
O.L. Podkorytova ◽  
E.V. Lebedkov ◽  
...  
Keyword(s):  
Intensive Care ◽  
Plasma Exchange ◽  
Therapeutic Plasma Exchange

Therapeutic plasma exchange in a single center: Ibni Sina experience

2004 ◽  
Vol 30 (3) ◽  
pp. 181-184 ◽  
Author(s):  
Önder Arslan ◽  
Mutlu Arat ◽  
Ibrahim Tek ◽  
Erol Ayyildiz ◽  
Osman Ilhan
Keyword(s):  
Plasma Exchange ◽  
Therapeutic Plasma Exchange ◽  
Single Center
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