Key considerations in setting up a therapeutic plasma exchange service for neurology patients
Therapeutic plasma exchange (TPE) is effective in the treatment of both neurological and non-neurological diseases. It is highly efficacious when used appropriately but has significant associated risks. We outline the key components for consideration when setting up and maintaining a TPE service bas...
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Format: | Article |
Language: | English |
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Whitehouse Publishing
2025-01-01
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Series: | Advances in Clinical Neuroscience & Rehabilitation |
Online Access: | https://acnr.co.uk/?post_type=articles&p=30575 |
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author | Nicole Japzon Aneliya Takova Viva Levee Ruth Han Jenny McDonald Benjamin Sacks Sinead Rosser Katharine Hunt Laura Zambreanu Michael Lunn Jennifer Spillane |
author_facet | Nicole Japzon Aneliya Takova Viva Levee Ruth Han Jenny McDonald Benjamin Sacks Sinead Rosser Katharine Hunt Laura Zambreanu Michael Lunn Jennifer Spillane |
author_sort | Nicole Japzon |
collection | DOAJ |
description | Therapeutic plasma exchange (TPE) is effective in the treatment of both neurological and non-neurological diseases. It is highly efficacious when used appropriately but has significant associated risks. We outline the key components for consideration when setting up and maintaining a TPE service based on our experience at the National Hospital for Neurology and Neurosurgery (NHNN), a tertiary centre dedicated to the diagnosis and management of neurological diseases. This includes the assessment of vascular access choice, anticoagulation, replacement fluid and review of patient selection and pathways. We also consider the creation of hospital guidelines and the provision of patient and staff education for developing the service. We aim to outline a service model for other centres to provide a safe and effective TPE pathway. |
format | Article |
id | doaj-art-da88296506e749fa88def1b286e32433 |
institution | Kabale University |
issn | 1473-9348 2397-267X |
language | English |
publishDate | 2025-01-01 |
publisher | Whitehouse Publishing |
record_format | Article |
series | Advances in Clinical Neuroscience & Rehabilitation |
spelling | doaj-art-da88296506e749fa88def1b286e324332025-01-28T13:42:03ZengWhitehouse PublishingAdvances in Clinical Neuroscience & Rehabilitation1473-93482397-267X2025-01-0110.47795/SKAK6135Key considerations in setting up a therapeutic plasma exchange service for neurology patients Nicole Japzon0Aneliya Takova1Viva Levee2Ruth Han3Jenny McDonald4Benjamin Sacks5Sinead Rosser6Katharine HuntLaura Zambreanu7Michael Lunn8Jennifer Spillane9University College London HospitalRoyal Free NHS Foundation TrustSt George’s Hospital, LondonCharing Cross Hospital, Imperial College Healthcare NHS TrustNational Hospital for Neurology and Neurosurgery, Queen Square, LondonNational Hospital for Neurology and Neurosurgery and the Royal Free HospitalRoyal Berkshire HospitalNational Hospital for Neurology and Neurosurgery, King’s College LondonNational Hospital for Neurology and NeurosurgeryNational Hospital for Neurology and NeurosurgeryTherapeutic plasma exchange (TPE) is effective in the treatment of both neurological and non-neurological diseases. It is highly efficacious when used appropriately but has significant associated risks. We outline the key components for consideration when setting up and maintaining a TPE service based on our experience at the National Hospital for Neurology and Neurosurgery (NHNN), a tertiary centre dedicated to the diagnosis and management of neurological diseases. This includes the assessment of vascular access choice, anticoagulation, replacement fluid and review of patient selection and pathways. We also consider the creation of hospital guidelines and the provision of patient and staff education for developing the service. We aim to outline a service model for other centres to provide a safe and effective TPE pathway.https://acnr.co.uk/?post_type=articles&p=30575 |
spellingShingle | Nicole Japzon Aneliya Takova Viva Levee Ruth Han Jenny McDonald Benjamin Sacks Sinead Rosser Katharine Hunt Laura Zambreanu Michael Lunn Jennifer Spillane Key considerations in setting up a therapeutic plasma exchange service for neurology patients Advances in Clinical Neuroscience & Rehabilitation |
title | Key considerations in setting up a therapeutic plasma exchange service for neurology patients |
title_full | Key considerations in setting up a therapeutic plasma exchange service for neurology patients |
title_fullStr | Key considerations in setting up a therapeutic plasma exchange service for neurology patients |
title_full_unstemmed | Key considerations in setting up a therapeutic plasma exchange service for neurology patients |
title_short | Key considerations in setting up a therapeutic plasma exchange service for neurology patients |
title_sort | key considerations in setting up a therapeutic plasma exchange service for neurology patients |
url | https://acnr.co.uk/?post_type=articles&p=30575 |
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