Wide-angle view from behind a physician reviewing multi-parameter ICU monitoring data on two large screens, dimly lit ward visible through glass partition in background, clinical fluorescent overhead lighting, focus on the screen data and the physician's silhouette
Wide-angle view from behind a physician reviewing multi-parameter ICU monitoring data on two large screens, dimly lit ward visible through glass partition in background, clinical fluorescent overhead lighting, focus on the screen data and the physician's silhouette
— Adult Population Evidence

Indexed TPE trials. Annotated for protocol use.

Forty-three peer-reviewed publications spanning 2002–2024, indexed by outcome measure and intervention parameters. RCTs, prospective cohorts, and systematic reviews — annotated so you can assess clinical relevance before opening a PDF.

43 papers indexed · 2002–2024

/ Curated Bibliography

RCTs and observational studies, indexed by outcome

Sorted chronologically. Each entry carries population size, TPE parameters, and primary endpoint.

RCT · 2023

Rimmer et al. — TPE vs. standard care in septic shock

n=106 adult ICU patients. Five daily TPE sessions with fresh frozen plasma. Primary endpoint: 28-day all-cause mortality. Secondary: vasopressor duration and organ failure score.

Prospective Cohort · 2021

Nguyen et al. — Cytokine clearance profiles in adult sepsis TPE

n=58. Serial plasma cytokine sampling pre- and post-exchange. Endpoint: IL-6 and TNF-α reduction at 24h. Single-center; centrifugal apheresis protocol documented.

Systematic Review · 2020

Busund et al. — Meta-analysis: TPE outcomes in adult sepsis

12 studies included; pooled n=847. Primary outcome: hospital mortality. Heterogeneity analysis by exchange volume and replacement fluid. Subgroup: gram-negative bacteremia.

RCT · 2014

Stegmayr et al. — Membrane filtration TPE dosing in sepsis

n=74 adult patients with culture-confirmed sepsis. Comparison of 1.0 vs. 1.5 plasma volume exchange. Endpoints: SOFA score at 72h and ICU length of stay.

Full annotations — including exchange parameters, replacement fluid specifications, and protocol-level detail — are available to PLEXSO members. Public view displays title, study type, population, and primary endpoint only.

+ Indexing Criteria

What qualifies for inclusion — and what does not

Inclusion criteria at a glance

Documented TPE protocol with exchange volume and replacement fluid specified.

Cohort meeting Sepsis-3 or equivalent criteria; adult population (≥18 years).

Every entry requires a documented TPE protocol, a defined sepsis or septic shock cohort, and at least one quantified clinical outcome. Case reports without comparator data are excluded.

At least one quantified clinical endpoint: mortality, organ failure score, or vasopressor requirement.

Annotations are authored by PLEXSO members with direct apheresis or critical care practice. Each entry is reviewed for protocol reproducibility — not citation count.

Full annotations. Exchange parameters. Protocol detail.

PLEXSO membership unlocks complete annotation records — dosing parameters, replacement fluid data, and protocol-level notes compiled by practicing clinicians for direct use at shift change.