Pediatric anesthesia & critical care

Tandem Extracorporeal Blood Purification/Support Therapies in Critically Ill Children: A Literature Review

Crit Care MedPublished Literature review

Authors' conclusion

Tandem EBP/STs remain an emerging but incompletely standardized intervention in pediatric critical care.

Study context

Population
Critically ill children receiving tandem extracorporeal blood purification/support therapies (CRRT, therapeutic plasma exchange, ECMO)

Main finding

As reported in the abstract

  • Tandem EBP/ST increasingly used in children with sepsis-induced multiple organ failure, acute liver failure, and thrombocytopenia-associated multiple organ dysfunction syndrome
  • Benefits: reduced procedural downtime, optimized vascular access, enhanced therapeutic efficiency
  • Limitations: off-label use, widely variable protocols, no child-specific guidelines

Safety

Complications of tandem therapy

Increased risk of complications such as hypocalcemia and hemodynamic instability

Original publication

Tandem Extracorporeal Blood Purification/Support Therapies in Critically Ill Children: A Literature Review. Crit Care Med. Published 21 November 2025. doi:10.1097/ccm.0000000000006939

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