1 edition of Utility of therapeutic plasmapheresis for neurological disorders found in the catalog.
Utility of therapeutic plasmapheresis for neurological disorders
Published
1986 by U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health] in [Bethesda, MD .
Written in English
Edition Notes
| Series | National Institutes of Health consensus development conference statement -- v. 6, no. 4 |
| Contributions | National Institutes of Health (U.S.) |
| The Physical Object | |
|---|---|
| Pagination | 7 p. ; |
| ID Numbers | |
| Open Library | OL14904923M |
Other Considerations The possibility that sham pheresis is not merely a placebo should be tested. L'Etoile, J. The etiological list of causes of encephalopathy or encephalitis is quite long, yet the main focus of this study is autoimmune encephalopathy AIE in the pediatric age group. Table 2 Open in a separate window Other comorbid medical conditions were present in patients hypertension in 71 patients, diabetes mellitus in 31 patients, chronic obstructive airway disease in 27 patients and history of mild angina pectoris in 24 patients. Arch Neurol ;—8. Potential Challenges in Plasmapheresis Plasmapheresis is not a simple treating procedure.
Complications of PE were either local related to the venous catheter or systemic related to the PE procedure [ Table 4 ]. Being assumed of autoimmune nature, immunotherapy for SC has been tried years ago [ 55 ]. Acute immunoinflammatory neuropathy: Update on Guillain-Barre syndrome. Alvaro A. Myasthenia Gravis MG A considerable body of experimental animal and human clinical data has implicated an antibody-mediated attack on the acetylcholine receptor AChR in the pathogenesis of MG.
Kovithavongs, L. Eat a diet high in protein and low in phosphorous, sodium, and potassium in the days leading up to plasmapheresis. Acta Neurol Scand ;— They also discussed alternative therapies. In this cohort, confirmed or strongly suspected etiologies were found in only one-third of the study population, while nearly two-thirds have remained with unknown etiology [ 7 ]. The term encephalitis is usually used when encephalopathy more precisely altered mental status is accompanied by more than one of the following clinical manifestations: fever, seizures, focal neurological signs, cerebrospinal fluid CSF pleocytosis, or abnormal brain neuroimaging studies [ 2 ].
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This is attributed the large fluid shifts between the intra and extra vascular compartments with associated electrolyte imbalances and the citrate content of the anticoagulant in the FFP which chelates the calcium.
Deep vein thrombosis of lower limb occurred in 4 1. Avoid smoking and tobacco use. During the procedure intravenous heparin was given U every 30 minutes to prevent clot formation in the extracorporeal circuit.
There is a suggestion that even one or two treatments can sometimes abort progression. Optimal regimens have not been established for any neurologic condition in which TPE has a role in management. The plasma is also treated in processing multiple times to inactivate any virus that was undetected during the screening process.
Data regarding the use of PE in elderly patients is sparse. Then a needle or catheter will be placed into a vein in the crux of whichever arm has the most robust artery. Alexander, P. The most feared complication of subclavian catheterization, the pneumothorax, occurred in 2 0.
Sievert, and N. The deaths from PE have been reported, but have generally been related to underlying or preexisting illness than the procedure itself. However, there is good evidence that plasmapheresis, as the case with other immunotherapies, should be considered as early as the diagnosis of AIE is entertained, in order to improve the final outcome [ 20 ].
Rev Neurol Paris ;— Graus, F. For patients able to breathe without ventilatory support at the time of the first plasma exchange, TPE may also reduce the time spent on a respirator if ventilatory assistance is subsequently needed.
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Intensive Care Med. World apheresis registry data. Six patients expired due to various reasons. These include toxins, metabolic substances, and plasma constituents implicated in disease, such as complement or antibodies.
Most of the previous studies on PE were based on data gathered from apheresis registries of various countries, for various neurological as well as non-neurological diseases, of varying severity. Gieron-Korthals, C. Tindall RSA. Hypotension was treated by lowering the pump speed or temporarily stopping the procedure and infusion of normal saline or fresh frozen plasma FFP.
Haberlandt, T. Kendirli, Z.Utility of therapeutic plasmapheresis for neurological disorders. [Bethesda, MD]: [U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health], (OCoLC) May 30, · Plasma exchange, also known as plasmapheresis, is a way to "clean" your blood.
It works sort of like kidney dialysis. During the treatment, plasma -- the liquid part of your blood -- gets replaced. Abstract. Over the past thirteen years, plasmapheresis, or plasma exchange (PE) has significantly contributed to the understanding and therapy of various neurological disorders where autoimmunity is presumed to play a atlasbowling.com: B.
O. Khatri. Autoimmune-mediated encephalopathy in children continues to constitute a diagnostic and therapeutic challenge in pediatric population.
Utility and usefulness in this clinical setting of plasmapheresis have seldom been evaluated in current pediatric literature. Children with immune-mediated encephalopathies represent a uniquely different group among patients presenting to intensive care units Cited by: 3.
Apr 28, · Utility and usefulness in this clinical setting of plasmapheresis have seldom been evaluated in current pediatric literature.
Children with immune-mediated encephalopathies represent a uniquely different group among patients presenting to intensive care units or Cited by: 3. Plasmapheresis is a form of apheresis that involves selective removal of the patient’s plasma which is then replaced by special intravenous fluids.
Myasthenia gravis (MG) is the best example of a condition which can be successfully treated using plasmapheresis in addition to oral medications. The exact cause of MG is not known, but it is known.
