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Related Concept Videos

Acute Inflammation II: Local and Systemic Effects01:25

Acute Inflammation II: Local and Systemic Effects

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Acute inflammation produces a coordinated set of local and systemic changes that limit injury, eliminate pathogens, and initiate repair. These responses arise within minutes of infection, trauma, or chemical insult and are driven by vascular alterations and leukocyte-derived mediators. When the stimulus resolves, the reaction typically abates within days.Local EffectsAt the site of injury, arteriolar vasodilation increases blood flow, resulting in redness and warmth. Simultaneously, increased...
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Related Experiment Video

Updated: May 2, 2026

Transcutaneous Microcirculatory Imaging in Preterm Neonates
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Microcirculatory Dysfunction in Sepsis.

Max S Kravitz1, Nathan I Shapiro1, Eric P Schmidt2

  • 1Department of Emergency Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.

Clinics in Chest Medicine
|February 6, 2026
PubMed
Summary
This summary is machine-generated.

Microcirculatory dysfunction in sepsis is linked to poor outcomes. Precision medicine using microcirculatory measurements may guide individualized treatments for better sepsis management.

Keywords:
EndotheliumGlycocalyxIntravital microscopyMicrocirculationMicrovascular dysfunctionPrecision medicineResuscitation strategiesSepsis

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Area of Science:

  • Critical care medicine
  • Physiology
  • Sepsis research

Background:

  • Microcirculatory dysfunction is a key factor in sepsis pathophysiology.
  • It is strongly associated with adverse clinical outcomes in sepsis patients.
  • Current therapies targeting microcirculation have shown limited success in improving outcomes.

Purpose of the Study:

  • To review current evidence on microvascular dysfunction in sepsis.
  • To discuss physiology, assessment, and therapeutic strategies.
  • To highlight the need for precision medicine in sepsis resuscitation.

Main Methods:

  • Literature review of current evidence.
  • Analysis of physiological mechanisms.
  • Evaluation of diagnostic tools and biomarkers.
  • Assessment of therapeutic interventions.

Main Results:

  • Microcirculatory dysfunction significantly impacts sepsis outcomes.
  • Bedside tools and biomarkers show promise for detection.
  • Most current therapies have not improved clinical outcomes.
  • Precision medicine approaches are needed for individualized care.

Conclusions:

  • Microvascular dysfunction is central to sepsis.
  • Precision medicine, guided by microcirculatory measurements, is crucial for individualized resuscitation.
  • Further research into patient subgroups benefiting from targeted interventions is warranted.