Solutions to technical challenges during therapeutic plasma exchange using the Spectra Optia on a 4 kilogram neonate
Gagan Mathur1, Laura Collins1, Cody R Tigges2
1Department of Pathology, University of Iowa, 200 Hawkins Dr, Iowa City, IA, 52242, USA.
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.
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