Fluid resuscitation should respect the endothelial glycocalyx layer
- PMID: 25629597
- PMCID: PMC4331386
- DOI: 10.1186/s13054-014-0707-6
Fluid resuscitation should respect the endothelial glycocalyx layer
Abstract
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.
Comment on
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Hypervolemia increases release of atrial natriuretic peptide and shedding of the endothelial glycocalyx.Crit Care. 2014 Oct 13;18(5):538. doi: 10.1186/s13054-014-0538-5. Crit Care. 2014. PMID: 25497357 Free PMC article.
References
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- Henry CB, Duling BR. Permeation of the luminal capillary glycocalyx is determined by hyaluronan. Am J Physiol. 1999;277:H508–H514. - PubMed
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