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Review
. 2020 Apr;36(2):217-232.
doi: 10.1016/j.ccc.2019.12.007. Epub 2020 Feb 6.

Endothelial Glycocalyx

Affiliations
Review

Endothelial Glycocalyx

Jan Jedlicka et al. Crit Care Clin. 2020 Apr.

Abstract

The endothelial glycocalyx (EG) is the most luminal layer of the blood vessel, growing on and within the vascular wall. Shedding of the EG plays a central role in many critical illnesses. Degradation of the EG is associated with increased morbidity and mortality. Certain illnesses and iatrogenic interventions can cause degradation of the EG. It is not known whether restitution of the EG promotes the survival of the patient. First trials that focus on the reorganization and/or restitution of the EG seem promising. Nevertheless, the step "from bench to bedside" is still a big one.

Keywords: AKI; ARDS; Endothelial glycocalyx; Organ dysfunction; Septic injury; Shedding; Trauma.

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Conflict of interest statement

Disclosure All authors have nothing to disclose.

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