Plasma exchange as rescue therapy in multiple organ failure including acute renal failure*

Abstract

Plasma exchange using plasma as replacement may, in addition to conventional intensive care, help to reverse severe progressive disseminated intravascular coagulation and multiple organ dysfunction syndrome and improve survival.

Severe acute arsine poisoning treated by plasma exchange

“…In our study, 2000 mL (30-35 mL/kg) of FFP (20), (amounting to 40% of total body plasma) was appropriate in the most cases. If needed, another PE is suggested as soon as possible.…”

Hematological and Coagulation Changes in Sepsis

“…35 However, blinded trials of plasmapheresis are not practical and it may never be possible to prove a survival benefi t.…”

Fortschritte in der Therapie der Sepsis

“…Für Aphereseverfahren [33] sind güns-tige Effekte bisher nur in Fallberichten und in relativ kleinen kontrollierten Studien beschrieben.…”