Solutions to technical challenges during therapeutic plasma exchange using the Spectra Optia on a 4 kilogram neonate

Gagan Mathur; Laura Collins; Cody R Tigges; Annette J Schlueter

doi:10.1016/j.transci.2018.01.011

Solutions to technical challenges during therapeutic plasma exchange using the Spectra Optia on a 4 kilogram neonate

Transfus Apher Sci. 2018 Apr;57(2):201-203. doi: 10.1016/j.transci.2018.01.011. Epub 2018 Feb 2.

Authors

Gagan Mathur¹, Laura Collins¹, Cody R Tigges², Annette J Schlueter³

Affiliations

¹ Department of Pathology, University of Iowa, 200 Hawkins Dr, Iowa City, IA, 52242, USA.
² Department of Pediatrics, University of Iowa, 200 Hawkins Dr, Iowa City, IA, 52242, USA.
³ Department of Pathology, University of Iowa, 200 Hawkins Dr, Iowa City, IA, 52242, USA. Electronic address: annette-schlueter@uiowa.edu.

PMID: 29439919
DOI: 10.1016/j.transci.2018.01.011

Abstract

Therapeutic plasma exchange (TPE) on severely ill neonates poses many technical challenges, including obtaining adequate vascular access. In addition, clinical challenges such as risk of hypotension and cardiovascular instability are more pronounced in these patients. We report an approach to successfully managing these challenges while performing TPE on a 4 kilogram neonate using the Spectra Optia and 22 G venous access.

Keywords: Infant; Ionized calcium; Plasmapheresis; Sepsis; Vascular access.

Publication types

Case Reports

MeSH terms

Blood Component Removal / methods*
Female
Humans
Infant, Newborn
Plasma Exchange / methods*
Plasmapheresis / methods*