Peripheral vascular access for therapeutic plasma exchange: A practical approach to increased utilization and selecting the most appropriate vascular access

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Standard

Peripheral vascular access for therapeutic plasma exchange : A practical approach to increased utilization and selecting the most appropriate vascular access. / Barth, David; Sanchez, Amber; Thomsen, Anna Marie; Garcia, Alicia; Malachowski, Roman; Weldon, Rebecca; Mayhew, Michaela; Mudie, Kari; Faller, Dawn; Schwartz, Joseph.

I: Journal of Clinical Apheresis, Bind 35, Nr. 3, 06.2020, s. 178-187.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Barth, D, Sanchez, A, Thomsen, AM, Garcia, A, Malachowski, R, Weldon, R, Mayhew, M, Mudie, K, Faller, D & Schwartz, J 2020, 'Peripheral vascular access for therapeutic plasma exchange: A practical approach to increased utilization and selecting the most appropriate vascular access', Journal of Clinical Apheresis, bind 35, nr. 3, s. 178-187. https://doi.org/10.1002/jca.21778

APA

Barth, D., Sanchez, A., Thomsen, A. M., Garcia, A., Malachowski, R., Weldon, R., Mayhew, M., Mudie, K., Faller, D., & Schwartz, J. (2020). Peripheral vascular access for therapeutic plasma exchange: A practical approach to increased utilization and selecting the most appropriate vascular access. Journal of Clinical Apheresis, 35(3), 178-187. https://doi.org/10.1002/jca.21778

CBE

Barth D, Sanchez A, Thomsen AM, Garcia A, Malachowski R, Weldon R, Mayhew M, Mudie K, Faller D, Schwartz J. 2020. Peripheral vascular access for therapeutic plasma exchange: A practical approach to increased utilization and selecting the most appropriate vascular access. Journal of Clinical Apheresis. 35(3):178-187. https://doi.org/10.1002/jca.21778

MLA

Vancouver

Barth D, Sanchez A, Thomsen AM, Garcia A, Malachowski R, Weldon R o.a. Peripheral vascular access for therapeutic plasma exchange: A practical approach to increased utilization and selecting the most appropriate vascular access. Journal of Clinical Apheresis. 2020 jun;35(3):178-187. https://doi.org/10.1002/jca.21778

Author

Barth, David ; Sanchez, Amber ; Thomsen, Anna Marie ; Garcia, Alicia ; Malachowski, Roman ; Weldon, Rebecca ; Mayhew, Michaela ; Mudie, Kari ; Faller, Dawn ; Schwartz, Joseph. / Peripheral vascular access for therapeutic plasma exchange : A practical approach to increased utilization and selecting the most appropriate vascular access. I: Journal of Clinical Apheresis. 2020 ; Bind 35, Nr. 3. s. 178-187.

Bibtex

@article{6315c439146c425b8efbe5114f81b88b,
title = "Peripheral vascular access for therapeutic plasma exchange: A practical approach to increased utilization and selecting the most appropriate vascular access",
abstract = "Background: Therapeutic plasma exchange (TPE) is used in the treatment of many diseases. At present, peripheral vascular access (PVA) is an underutilized method of vascular access in TPE. It should be considered more frequently due its relatively low risk for adverse events, particularly infections. Methods: The Advancing Vascular Access in Apheresis Working Group met in December 2017 for an extensive review and discussion of vascular access for TPE and developed a “road map” providing detailed information regarding clinical situations in which PVA-based TPE would and would not be appropriate. Results: The road map is consistent with current recommendations that PVA should be used in combination with TPE whenever possible. PVA should be considered for patients who do not have existing central lines and who are stable. The patient should have peripheral veins that will allow for adequate treatment and must be able to comply with the process of achieving and maintaining peripheral access. There should be expert clinical assessment of veins, and this evaluation may include ultrasound and/or near infrared evaluation. Conditions that would prompt a switch from PVA to an alternate method of venous access include loss of venous access, patient preference, or development of a requirement for very frequent treatment over a long period of time. Conclusions: While PVA is not suitable for all patients requiring TPE, it has significant safety advantages over other approaches and should be employed whenever possible.",
keywords = "decision algorithm, peripheral venous access, therapeutic plasma exchange, vascular access",
author = "David Barth and Amber Sanchez and Thomsen, {Anna Marie} and Alicia Garcia and Roman Malachowski and Rebecca Weldon and Michaela Mayhew and Kari Mudie and Dawn Faller and Joseph Schwartz",
year = "2020",
month = jun,
doi = "10.1002/jca.21778",
language = "English",
volume = "35",
pages = "178--187",
journal = "Journal of Clinical Apheresis",
issn = "0733-2459",
publisher = "JohnWiley & Sons, Inc.",
number = "3",

}

RIS

TY - JOUR

T1 - Peripheral vascular access for therapeutic plasma exchange

T2 - A practical approach to increased utilization and selecting the most appropriate vascular access

AU - Barth, David

AU - Sanchez, Amber

AU - Thomsen, Anna Marie

AU - Garcia, Alicia

AU - Malachowski, Roman

AU - Weldon, Rebecca

AU - Mayhew, Michaela

AU - Mudie, Kari

AU - Faller, Dawn

AU - Schwartz, Joseph

PY - 2020/6

Y1 - 2020/6

N2 - Background: Therapeutic plasma exchange (TPE) is used in the treatment of many diseases. At present, peripheral vascular access (PVA) is an underutilized method of vascular access in TPE. It should be considered more frequently due its relatively low risk for adverse events, particularly infections. Methods: The Advancing Vascular Access in Apheresis Working Group met in December 2017 for an extensive review and discussion of vascular access for TPE and developed a “road map” providing detailed information regarding clinical situations in which PVA-based TPE would and would not be appropriate. Results: The road map is consistent with current recommendations that PVA should be used in combination with TPE whenever possible. PVA should be considered for patients who do not have existing central lines and who are stable. The patient should have peripheral veins that will allow for adequate treatment and must be able to comply with the process of achieving and maintaining peripheral access. There should be expert clinical assessment of veins, and this evaluation may include ultrasound and/or near infrared evaluation. Conditions that would prompt a switch from PVA to an alternate method of venous access include loss of venous access, patient preference, or development of a requirement for very frequent treatment over a long period of time. Conclusions: While PVA is not suitable for all patients requiring TPE, it has significant safety advantages over other approaches and should be employed whenever possible.

AB - Background: Therapeutic plasma exchange (TPE) is used in the treatment of many diseases. At present, peripheral vascular access (PVA) is an underutilized method of vascular access in TPE. It should be considered more frequently due its relatively low risk for adverse events, particularly infections. Methods: The Advancing Vascular Access in Apheresis Working Group met in December 2017 for an extensive review and discussion of vascular access for TPE and developed a “road map” providing detailed information regarding clinical situations in which PVA-based TPE would and would not be appropriate. Results: The road map is consistent with current recommendations that PVA should be used in combination with TPE whenever possible. PVA should be considered for patients who do not have existing central lines and who are stable. The patient should have peripheral veins that will allow for adequate treatment and must be able to comply with the process of achieving and maintaining peripheral access. There should be expert clinical assessment of veins, and this evaluation may include ultrasound and/or near infrared evaluation. Conditions that would prompt a switch from PVA to an alternate method of venous access include loss of venous access, patient preference, or development of a requirement for very frequent treatment over a long period of time. Conclusions: While PVA is not suitable for all patients requiring TPE, it has significant safety advantages over other approaches and should be employed whenever possible.

KW - decision algorithm

KW - peripheral venous access

KW - therapeutic plasma exchange

KW - vascular access

UR - http://www.scopus.com/inward/record.url?scp=85082054705&partnerID=8YFLogxK

U2 - 10.1002/jca.21778

DO - 10.1002/jca.21778

M3 - Journal article

C2 - 32191358

AN - SCOPUS:85082054705

VL - 35

SP - 178

EP - 187

JO - Journal of Clinical Apheresis

JF - Journal of Clinical Apheresis

SN - 0733-2459

IS - 3

ER -