Study | N (P/Cntl) | Population | Age (P/Cntl) | Illness severity (P/Cntl) (mean) | Modality | Intensity | Replacement fluid |
---|---|---|---|---|---|---|---|
Reeves and colleagues [23] | 30 (14/16) | Sepsis syndrome | 39/53 (mean) | 26.2/24.2 (adults) | Plasma filtration | 2 PV during first 4 to 6Â hours, 3 PV throughout following 28 to 30Â hours (total five volumes) | FFP/protein electrolyte replacement solution (1:4 ratio) |
 | 22 adults | ||||||
Eight children | |||||||
26.3/26.9 (childrena) | (PF1000 plasma filter, Gambro, Lund, Sweden) | ||||||
213Â ml/kg (SD 42.2) plasma exchanged | |||||||
(APACHE II) | |||||||
Busund and colleagues [24] | 106 (54/52) | Adults with severe sepsis or septic shock | 41/48 (mean) | 56.4/53.5 | Plasmapheresis | One treatment of 30 to 40Â ml/kg exchange | FFP:5% albumin replacement fluid (1:1 ratio) |
 | (APACHE III) | (PF-0.5 [Lvov, Russia] and DK2-03 [Rjazan, Russia] plasmapheresis machine) | |||||
(Repeated once if no clinical improvement) | |||||||
Mean 1,820 ± 402 ml (first session) and 1,763 ± 312 ml (second session) | |||||||
Nguyen and colleagues [25] | 10 (5/5) | Children with thrombocytopenia and multiorgan failure due to sepsis | 1 to 16 /3 to 18 (range) | 25.7/25.7 | Plasma exchange (SPECTRA, Gambro BCT, Lakewood, Co, USA) | 1.5 volumes day 1; 1.0 volumes for 14 days) | NR |
 |  | (PELOD)a | |||||
Median of 12 treatments given | |||||||
Long and colleagues [26] | 48 (25/23) | Children with severe sepsis | 2.8 (1.2 to 9.6) /2.8 (0.9 to 5) | NR | Plasma filtration | 2 PV over first 2Â hours (100Â ml/kg) followed by 6 PV over the next 30Â hours (300Â ml/kg) | FFP/protein electrolyte replacement solution (1:4 ratio) |
 | (PF1000 or PF2000 plasma filter, Gambro, Lund, Sweden) | ||||||
Median (IQR) |