SCCM Resource Library-Emerging Extracorporeal Therapies in the Pediatric Intensive Care Unit

Video Transcription

Video Summary

The talk discussed two types of extracorporeal therapies: plasma exchange and hemoperfusion. Plasma exchange is the removal of plasma from the blood and replacing it with donor plasma or a substitute. It is commonly used in patients with thrombocytopenia-associated multiple organ failure (TAMOF) and some types of sepsis. The talk highlighted studies that showed a significant improvement in survival rates with plasma exchange in patients with TAMOF and sepsis. Hemoperfusion, on the other hand, is the passage of blood through a device to remove toxins or waste products. The talk mentioned the use of hemoperfusion in liver failure and macrophage activation syndrome. Studies showed mixed results, with some showing a survival benefit and others showing no significant difference. However, the speaker emphasized the need for standardized protocols and more research in both plasma exchange and hemoperfusion to determine their true efficacy. Overall, the talk highlighted the potential benefits of extracorporeal therapies in treating certain conditions, but emphasized the need for further research and standardization in their use.

Asset Subtitle

Pediatrics, Procedures, 2020

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2020 Critical Care Congress held February 16-19, 2020, in Orlando, Florida, USA.

Learning Objectives

Describe and compare strategies for fluid removal on ECMO
Discuss extracorporeal hepatic therapies
Explore novel approaches to fluid and toxin removal in the pediatric ICU

Renal Replacement Therapy on ECMO

Stuart Goldstein

Extracorporeal Liver Support

Ayse A. Arikan

Novel Techniques for Fluid and Toxin Removal

Joseph A. Carcillo

Meta Tag

Content Type Presentation

Knowledge Area Pediatrics

Knowledge Area Procedures

Knowledge Level Advanced

Learning Pathway Skills and Procedures

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Extracorporeal Membrane Oxygenation ECMO

Year 2020

Keywords

extracorporeal therapies

plasma exchange

hemoperfusion

TAMOF

sepsis

survival rates

toxins

liver failure

macrophage activation syndrome

research

efficacy

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