Continuous plasma perfusion of dual cartridges in series: rationale and early clinical experience

J Artif Organs. 2016 Dec;19(4):378-382. doi: 10.1007/s10047-016-0917-6. Epub 2016 Jul 13.

Abstract

To improve the efficiency of plasma perfusion on eliminating plasma paraquat (PQ), we designed continuous plasma perfusion of dual cartridges in series (CPPDCS) on Diapact Braun CRRT machine. The goals of this study were to evaluate the effective of CPPDCS on paraquat removal in patients with acute paraquat intoxication. Our results show that the PQ clearance rate of dual cartridges was significantly higher than that of single cartridge at 1st, 2nd, 3rd, and 4th plasma perfusion. Compared with single-cartridge plasma perfusion, CPPDCS significantly reduced the frequency of cartridge replacement, shorten the time of perfusion. These results indicate that CPPDCS is effective than plasma perfusion of single cartridge on PQ clearance rate and may provide an effective treatment for PQ poisoning.

Keywords: Diapact Braun CRRT machine; Dual cartridges; Plasma adsorption/perfusion; Treatment.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Middle Aged
  • Paraquat / poisoning*
  • Perfusion
  • Plasmapheresis / instrumentation*
  • Plasmapheresis / methods
  • Poisoning / therapy
  • Treatment Outcome

Substances

  • Paraquat