Description of parallel and sequential configurations for concurrent therapeutic plasma exchange and continuous kidney replacement therapy in adults
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...
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| Veröffentlicht in: | Journal of clinical apheresis 2021-02, Vol.36 (1), p.211-218 |
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| creator | Kaushik, Manish Liew, Zhong Hong Sewa, Duu‐Wen Phua, Ghee Chee Cao, Ling Krishnamoorthy, Thinesh Lee Ng, Shin Yi Lim, Amy Ee Lin Ng, Li Choo Koniman, Riece Teo, Su Hooi Tan, Han Khim |
| description | 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. |
| doi_str_mv | 10.1002/jca.21854 |
| format | Article |
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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.</description><identifier>ISSN: 0733-2459</identifier><identifier>EISSN: 1098-1101</identifier><identifier>DOI: 10.1002/jca.21854</identifier><identifier>PMID: 33220117</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>acute liver failure ; Apheresis ; concurrent ; continuous kidney replacement therapy ; Liver diseases ; Plasma ; plasma exchange ; Renal replacement therapy ; tandem ; thrombotic thrombocytopenic purpura</subject><ispartof>Journal of clinical apheresis, 2021-02, Vol.36 (1), p.211-218</ispartof><rights>2020 Wiley Periodicals LLC</rights><rights>2020 Wiley Periodicals LLC.</rights><rights>2021 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3204-8fdc1422c7002a37bd5418bf17ec22fcf7c8ba0e0b6cabe8cd762ebda61a04ed3</citedby><cites>FETCH-LOGICAL-c3204-8fdc1422c7002a37bd5418bf17ec22fcf7c8ba0e0b6cabe8cd762ebda61a04ed3</cites><orcidid>0000-0002-3004-0316</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjca.21854$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjca.21854$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33220117$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaushik, Manish</creatorcontrib><creatorcontrib>Liew, Zhong Hong</creatorcontrib><creatorcontrib>Sewa, Duu‐Wen</creatorcontrib><creatorcontrib>Phua, Ghee Chee</creatorcontrib><creatorcontrib>Cao, Ling</creatorcontrib><creatorcontrib>Krishnamoorthy, Thinesh Lee</creatorcontrib><creatorcontrib>Ng, Shin Yi</creatorcontrib><creatorcontrib>Lim, Amy Ee Lin</creatorcontrib><creatorcontrib>Ng, Li Choo</creatorcontrib><creatorcontrib>Koniman, Riece</creatorcontrib><creatorcontrib>Teo, Su Hooi</creatorcontrib><creatorcontrib>Tan, Han Khim</creatorcontrib><creatorcontrib>S.I.N:G.A.P.O.R.E Initiative (Science In Nephrology: Growth And Progress Of Research & Education Initiative)</creatorcontrib><creatorcontrib>for the S.I.N:G.A.P.O.R.E Initiative (Science In Nephrology: Growth And Progress Of Research & Education Initiative)</creatorcontrib><title>Description of parallel and sequential configurations for concurrent therapeutic plasma exchange and continuous kidney replacement therapy in adults</title><title>Journal of clinical apheresis</title><addtitle>J Clin Apher</addtitle><description>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.</description><subject>acute liver failure</subject><subject>Apheresis</subject><subject>concurrent</subject><subject>continuous kidney replacement therapy</subject><subject>Liver diseases</subject><subject>Plasma</subject><subject>plasma exchange</subject><subject>Renal replacement therapy</subject><subject>tandem</subject><subject>thrombotic thrombocytopenic purpura</subject><issn>0733-2459</issn><issn>1098-1101</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kMlu2zAQQImiQe04PfQHCgI95aCEi6zlaDhLWwTopTkLI3IY05EplRSR6D_ywaXtND3lRGDw5g34CPnC2QVnTFxuFVwIXi3zD2TOWV1lnDP-kcxZKWUm8mU9I6chbBljdS2Xn8hMSiEY5-WcvFxhUN4Oo-0d7Q0dwEPXYUfBaRrwT0Q3Wuio6p2xD9HDHgzU9H4_UtH7BNBxgx4GjKNVdOgg7IDis9qAe8CDKKGjdbGPgT5a7XCiHhOncPd_e6LWUdCxG8MZOTHQBfz8-i7I_c317_X37O7X7Y_16i5TUrA8q4xWPBdClSkCyLLVy5xXreElKiGMMqWqWmDI2kJBi5XSZSGw1VBwYDlquSDfjt7B9-mnYWy2ffQunWxEXvOCF6XME3V-pJTvQ_BomsHbHfip4azZ929S_-bQP7FfX42x3aF-I_8FT8DlEXiyHU7vm5qf69VR-RdosZQa</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Kaushik, Manish</creator><creator>Liew, Zhong Hong</creator><creator>Sewa, Duu‐Wen</creator><creator>Phua, Ghee Chee</creator><creator>Cao, Ling</creator><creator>Krishnamoorthy, Thinesh Lee</creator><creator>Ng, Shin Yi</creator><creator>Lim, Amy Ee Lin</creator><creator>Ng, Li Choo</creator><creator>Koniman, Riece</creator><creator>Teo, Su Hooi</creator><creator>Tan, Han Khim</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0002-3004-0316</orcidid></search><sort><creationdate>202102</creationdate><title>Description of parallel and sequential configurations for concurrent therapeutic plasma exchange and continuous kidney replacement therapy in adults</title><author>Kaushik, Manish ; 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| subjects | acute liver failure Apheresis concurrent continuous kidney replacement therapy Liver diseases Plasma plasma exchange Renal replacement therapy tandem thrombotic thrombocytopenic purpura |
| title | Description of parallel and sequential configurations for concurrent therapeutic plasma exchange and continuous kidney replacement therapy in adults |
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