Fluid resuscitation should respect the endothelial glycocalyx layer

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• 作者：Bertrand Guidet (1) (2) (3)
  Hafid Ait-Oufella (1) (2) (4)
  
  1. Assistance Publique - H么pitaux de Paris ; H么pital Saint-Antoine ; Service de R茅animation M茅dicale ; 184 rue du Faubourg Saint Antoine ; Paris ; F-75012 ; France
  2. Sorbonne Universit茅s ; UPMC Univ Paris 06 ; UMR_S 1136 ; Institut Pierre Louis d鈥橢pid茅miologie et de Sant茅 Publique ; 47-83 Boulevard de l鈥檋么pital ; Paris ; 75013 ; France
  3. INSERM ; UMR_S 1136 ; Institut Pierre Louis d鈥橢pid茅miologie et de Sant茅 Publique ; 47-83 Boulevard de l鈥檋么pital ; Paris ; 75013 ; France
  4. Inserm U970 PAris Research Cardiovascular Center (PARCC) ; 56 rue Leblanc ; Paris ; 75015 ; France
  
• 刊名：Critical Care
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：18
• 期：6
• 全文大小：134 KB
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• 刊物主题：Intensive / Critical Care Medicine; Emergency Medicine;
• 出版者：BioMed Central
• ISSN：1364-8535

文摘

Endothelial glycocalyx degradation induced by fluid overload adds to the concern of a detrimental effect of uncontrolled fluid resuscitation and the risk of unnecessary fluid infusion. As a consequence, the use of new tools for monitoring response to fluids appears promising. From that perspective, the monitoring of plasma concentration of glycocalyx degradation markers could be useful.