In critical condition, sometimes continuous kidney replacement therapy (CKRT) treatment should not be held while therapeutic plasma exchange (TPE) is needed. Simultaneous use of both modalities is defined as tandem therapy, available as an option. We will describe the benefit and risk of tandem therapy as well as technique to perform this therapy.

Dr. Reza Fahlevi is a young pediatric nephrologist from national hospital Cipto  Mangunkusumo Hospital Jakarta and he is also a lecturer in Faculty of Medicine Universitas Indonesia. He graduated medical school, specialist and subspecialist program from Faculty of Medicine Universitas Indonesia and had pediatric nephrology fellowship  in Netherland. He is also active in various medical organization in Indonesia and International such as Indonesian Pediatric Society, Indonesian Transplant Society and International Pediatric Association