Solutions to technical challenges during therapeutic plasma exchange using the Spectra Optia on a 4 kilogram neonate.
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.
['Mathur|Gagan|G|', 'Collins|Laura|L|', 'Tigges|Cody R|CR|', 'Schlueter|Annette J|AJ|']
D001781:Blood Component Removal D005260:Female D006801:Humans D007231:Infant, Newborn D010951:Plasma Exchange D010956:Plasmapheresis
Vascular access Infant Ionized calcium Plasmapheresis Sepsis