Plasmapheresis (Therapeutic Plasma Exchange)

Plasmapheresis is a medical procedure in which plasma is separated and removed from the blood, and the remaining blood components (red cells, white cells, and platelets) are returned to the patient along with a replacement fluid such as fresh frozen plasma (FFP), albumin, or saline.

It is mainly used to remove pathogenic substances present in plasma, such as autoantibodies, immune complexes, toxins, or abnormal proteins.

Indications of Plasmapheresis

• Poisoning
• Certain drug overdoses
• Guillain–Barré syndrome
• Myasthenia gravis (myasthenic crisis)
• Thrombotic Thrombocytopenic Purpura (TTP)

Peritoneal Dialysis (PD)

Peritoneal dialysis is a form of renal replacement therapy in which a catheter is placed into the abdominal cavity to remove waste products, excess electrolytes, and fluid from the blood when the kidneys fail.

Indications of Peritoneal Dialysis

• End-stage renal disease (ESRD)
• Patients unsuitable for hemodialysis
• Poor vascular access
• Hemodynamic instability
• Newborns with kidney failure