Therapeutic plasma exchange in critical illness

R. Koniman, Manish Kaushik
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Abstract

Therapeutic plasma exchange (TPE) is widely used for various diseases, particularly in critically ill patients. Most of these indications rely mainly on the removal of pathological molecules in the plasma by TPE. TPE is also used to replace missing plasma components in some diseases. However, there are emerging data on the use of TPE in novel indications because of its potential immunomodulatory effects. This review discusses the techniques of TPE, key considerations when prescribing TPE, indications for TPE in critically ill patients, emerging developments and knowledge gaps in this field.
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危重病人的治疗性血浆置换
治疗性血浆置换(TPE)被广泛用于治疗各种疾病,尤其是危重病人。这些适应症大多主要依靠 TPE 清除血浆中的病理分子。在某些疾病中,TPE 还可用于替代缺失的血浆成分。然而,由于 TPE 具有潜在的免疫调节作用,有关 TPE 用于新适应症的数据也在不断涌现。本综述讨论了 TPE 的技术、处方 TPE 时的主要考虑因素、TPE 在重症患者中的适应症、该领域的新进展和知识空白。
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