Plasmapheresis and other extracorporeal filtration techniques in critical patients

D Daga Ruiz; F Fonseca San Miguel; F J González de Molina; A Úbeda-Iglesias; A Navas Pérez; R Jannone Forés

doi:10.1016/j.medin.2016.10.005

Plasmapheresis and other extracorporeal filtration techniques in critical patients

Med Intensiva. 2017 Apr;41(3):174-187. doi: 10.1016/j.medin.2016.10.005. Epub 2017 Jan 3.

[Article in English, Spanish]

Authors

D Daga Ruiz¹, F Fonseca San Miguel², F J González de Molina³, A Úbeda-Iglesias⁴, A Navas Pérez⁵, R Jannone Forés⁶

Affiliations

¹ Servicio de Medicina Intensiva, Hospital Universitario Virgen de la Victoria, Campus de Teatinos, S/N, 29010 Málaga, Spain.
² Servicio de Medicina Intensiva, Hospital Universitario Araba, Calle Olaguibel, 29, 01004 Vitoria-Gasteiz, Spain.
³ Servicio de Medicina Intensiva, Hospital Universitari Mútua Terrassa, Plaça Dr. Robert 5, 08220 Terrassa, Spain. Electronic address: [email protected].
⁴ Servicio de Medicina Intensiva, Hospital Punta de Europa, Crta. Getares, S/N, 11207 Algeciras, Spain.
⁵ Servicio de Medicina Intensiva. Corporació Sanitària Parc Taulí, Parc Taulí, 1, 08208 Sabadell, Spain.
⁶ Servicio de Medicina Intensiva, Hospital La Fe, Avinguda de Fernando Abril Martorell, 106, 46026 Valencia, Spain.

PMID: 28062169
DOI: 10.1016/j.medin.2016.10.005

Abstract

Plasmapheresis is an extracorporeal technique that eliminates macromolecules involved in pathological processes from plasma. A review is made of the technical aspects, main indications in critical care and potential complications of plasmapheresis, as well as of other extracorporeal filtration techniques such as endotoxin-removal columns and other devices designed to eliminate cytokines or modulate the inflammatory immune response in critical patients.

Keywords: Blood component removal; Critical care; Cuidados críticos; Eliminación de componentes sanguíneos; Endotoxinas; Endotoxins/isolation and purification; Hemoperfusion; Hemoperfusión; Plasmaféresis; Plasmapheresis; Polimixina/uso terapéutico; Polymyxins/therapeutic use.

Publication types

Review

MeSH terms

Critical Care / methods*
Hemoperfusion*
Humans
Plasmapheresis* / adverse effects