Evidence map›Paper›PMID 41299855›Full record

ArticleJournal of clinical apheresis2025

Refinement of Replacement Fluid Using Human Serum Albumin Preparation to Enhance Biocompatibility in Therapeutic Plasma Exchange.

Yuki Narita, Yoshitaka Takegawa, Tomoyuki Mizuta, Katsuji Otsuka, Hirotoshi Nakano, Daisuke Kadowaki, Hideyuki Saito, Masataka Adachi

Abstract read
In one paragraph

Article in Journal of clinical apheresis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yuki NaritaDepartment of Clinical Pharmaceutical Sciences, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan.ORCID https://orcid.org/0000-0003-1584-249X
Yoshitaka TakegawaImmune inflammation & Hematology Group, Medical Affairs Section, R&D Administration Division, KM Biologics Co. Ltd., Kumamoto, Japan.
Tomoyuki MizutaImmune inflammation & Hematology Group, Medical Affairs Section, R&D Administration Division, KM Biologics Co. Ltd., Kumamoto, Japan.
Katsuji OtsukaDepartment of Medical Engineering Center, Kumamoto University Hospital, Kumamoto, Japan.
Hirotoshi NakanoImmune inflammation & Hematology Group, Medical Affairs Section, R&D Administration Division, KM Biologics Co. Ltd., Kumamoto, Japan.ORCID https://orcid.org/0000-0003-0248-8188
Daisuke KadowakiFaculty of Pharmaceutical Sciences, Sojo University, Kumamoto, Japan.
Hideyuki SaitoDepartment of Clinical Pharmaceutical Sciences, Graduate School of Pharmaceutical Sciences, Kumamoto University, Kumamoto, Japan.
Masataka AdachiDepartment of Nephrology, Kumamoto University Graduate School of Medical, Kumamoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human serum albumin (HSA) solution is widely used as a replacement fluid during therapeutic plasma exchange (TPE). However, the ionic concentrations in commercially available 5% HSA solutions differ significantly from physiological levels. In this study, we developed a simple method for preparing a replacement fluid with ion concentrations closer to physiological norms by mixing 25% HSA with lactated Ringer's solution, sodium chloride, and calcium gluconate hydrate. We prepared three types of replacement fluids, each with a 4.0% albumin concentration and total volumes of 1.83, 2.43, and 3.04 L, and confirmed their compositional stability for up to 48 h. Compared with the standard 5% HSA solution, the prepared fluids had calcium, sodium, potassium, and chloride levels more closely aligned with physiological values. Using HSA-based replacement fluids with preadjusted electrolyte concentrations may help reduce the risk of imbalances, such as hypocalcemia, during TPE.

Indexed as

Plasma ExchangeSerum Albumin, HumanCalciumCalcium GluconateHumansIsotonic SolutionsRinger's LactateSodium ChlorideCalciumCalcium GluconateIsotonic SolutionsRinger's LactateSerum Albumin, HumanSodium Chloridealbumincalcium concentrationreplacement fluidtherapeutic plasma exchange

Identifiers

PMID41299855
PMCPMC12658307

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.