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]

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