The endothelium in sepsis

C Ince, PR Mayeux, T Nguyen, H Gomez, JA Kellum… - Shock, 2016 - journals.lww.com
Sepsis affects practically all aspects of endothelial cell (EC) function and is thought to be the
key factor in the progression from sepsis to organ failure. Endothelial functions affected by …

Sepsis-associated hyperlactatemia

M Garcia-Alvarez, P Marik, R Bellomo - Critical care, 2014 - Springer
There is overwhelming evidence that sepsis and septic shock are associated with
hyperlactatemia (sepsis-associated hyperlactatemia (SAHL)). SAHL is a strong independent …

Second consensus on the assessment of sublingual microcirculation in critically ill patients: results from a task force of the European Society of Intensive Care …

C Ince, EC Boerma, M Cecconi, D De Backer… - Intensive care …, 2018 - Springer
Purpose Hand-held vital microscopes (HVMs) were introduced to observe sublingual
microcirculatory alterations at the bedside in different shock states in critically ill patients …

Microcirculatory alterations in patients with severe sepsis: impact of time of assessment and relationship with outcome

D De Backer, K Donadello, Y Sakr… - Critical care …, 2013 - journals.lww.com
Objectives: Sepsis induces microvascular alterations that may play an important role in the
development of organ dysfunction. However, the relationship of these alterations to systemic …

Mechanisms of organ dysfunction in sepsis

R Pool, H Gomez, JA Kellum - Critical care clinics, 2018 - criticalcare.theclinics.com
Development of organ dysfunction is the most important clinical event during sepsis, as it
directly relates to mortality and morbidity. Although the new definition of sepsis captures this …

Pathophysiology of microcirculatory dysfunction and the pathogenesis of septic shock

D De Backer, D Orbegozo Cortes, K Donadello… - Virulence, 2014 - Taylor & Francis
Multiple experimental and human trials have shown that microcirculatory alterations are
frequent in sepsis. In this review, we discuss the various mechanisms that are potentially …

Microvascular blood flow is altered in patients with sepsis

D De Backer, J Creteur, JC Preiser… - American journal of …, 2002 - atsjournals.org
Microvascular blood flow alterations are frequent in animal models of sepsis and may impair
tissue oxygenation. We hypothesized that alterations of the microcirculation are present in …

The capillary bed offers the largest hemodynamic resistance to the cortical blood supply

IG Gould, P Tsai, D Kleinfeld… - Journal of Cerebral …, 2017 - journals.sagepub.com
The cortical angioarchitecture is a key factor in controlling cerebral blood flow and oxygen
metabolism. Difficulties in imaging the complex microanatomy of the cortex have so far …

How to evaluate the microcirculation: report of a round table conference

D De Backer, S Hollenberg, C Boerma, P Goedhart… - Critical care, 2007 - Springer
Introduction Microvascular alterations may play an important role in the development of
organ failure in critically ill patients and especially in sepsis. Recent advances in technology …

Monitoring the microcirculation in the critically ill patient: current methods and future approaches

D De Backer, G Ospina-Tascon, D Salgado… - Intensive care …, 2010 - Springer
Purpose To discuss the techniques currently available to evaluate the microcirculation in
critically ill patients. In addition, the most clinically relevant microcirculatory alterations will …