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Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration01:25

Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration

Hemoperfusion and hemofiltration are critical techniques in medical treatments to eliminate accumulated drugs, metabolites, and electrolytes from the bloodstream. These methods are particularly vital in cases of accidental poisoning and drug overdose.Hemoperfusion involves passing blood through an adsorbent material to remove unwanted substances. The main adsorbents used in hemoperfusion include activated charcoal and Amberlite resins. Activated charcoal can adsorb both polar and nonpolar...
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in critically...
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
Dialysis01:15

Dialysis

Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
Overview Of Cell Separation And Isolation01:20

Overview Of Cell Separation And Isolation

Cell separation was first achieved in 1964 by S. H. Seal, who separated large tumor cells from the smaller blood cells using filtration. Two years later, Pohl and Hawk performed experiments on how cells respond differently to a nonuniform electric field based on the cell type. Such observations were the inception of cell separation methods, which allow isolating a single cell type from a heterogeneous sample.

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Related Experiment Video

Updated: Jul 4, 2026

Isolating Human Peripheral Blood Mononuclear Cells and CD4+ T cells from Sézary Syndrome Patients for Transcriptomic Profiling
09:08

Isolating Human Peripheral Blood Mononuclear Cells and CD4+ T cells from Sézary Syndrome Patients for Transcriptomic Profiling

Published on: October 14, 2021

[Therapeutic apheresis: selective methods].

Petar Kes1, Nikolina Basić-Jukić, Ivana Jurić

  • 1Zavod za dijalizu, Klinicki bolnicki centar Zagreb, Zagreb, Hrvatska. kespetar@net.hr

Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
|June 27, 2008
PubMed
Summary

Therapeutic apheresis removes harmful substances from the body when other treatments fail. Selective apheresis methods offer the best results with fewer complications for various diseases.

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Area of Science:

  • Medical Science
  • Biotechnology
  • Clinical Medicine

Context:

  • Conservative treatments are insufficient for certain diseases.
  • Pathogenic proteins or protein-bound toxins necessitate removal.
  • Therapeutic apheresis offers alternative treatment strategies.

Purpose:

  • To describe various therapeutic apheresis methods.
  • To highlight the efficacy of selective apheresis techniques.
  • To review applications of apheresis in diverse medical conditions.

Summary:

  • Therapeutic apheresis encompasses procedures removing pathological substances like paraproteins, antibodies, and toxins.
  • Methods include nonselective (plasmapheresis), semiselective (cascade apheresis), and selective (adsorption) techniques.
  • Selective methods are superior, removing only harmful substances with fewer complications and no need for replacement fluid.

Impact:

  • Demonstrates successful application in age-related macular degeneration, cardiovascular diseases, neurological disorders, and renal transplantation.
  • Emphasizes the safety and efficiency of therapeutic apheresis when performed by trained professionals.
  • Establishes apheresis as a valuable adjuvant therapy for complex diseases.