sepsis

Sepsis

Metabolic septic shock sub-phenotypes, stability over time and association with clinical outcome

Summary of Metabolic Septic Shock Sub-Phenotypes, Stability Over Time and Association with Clinical Outcome Abstract Summary: Antcliffe et al. examined metabolic sub-phenotypes in septic shock using metabolomic data from two clinical trials (LeoPARDS and VANISH). They identified three distinct metabolic clusters, primarily characterized by lipid metabolite levels, especially lysophospholipids. Persistence in low lysophospholipid clusters correlated […]

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Uncategorized

Practical approach to thrombocytopenia in patients with sepsis: a narrative review

Summary of Practical approach to thrombocytopenia in patients with sepsis: a narrative review Abstract: Thrombocytopenia is common in sepsis, with disseminated intravascular coagulation (DIC) being a frequent cause, though thrombotic microangiopathy (TMA)—including thrombotic thrombocytopenic purpura (TTP) and hemolytic uremic syndrome (HUS)—is increasingly recognized. Differentiating DIC from TMA is challenging due to overlapping clinical and laboratory

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Sepsis

Temperature control in sepsis

Summary of Temperature Control in Sepsis Abstract: This mini-review explores the complex role of temperature control in sepsis. While fever can serve as an adaptive immune response, extreme temperatures—either hyperthermia or hypothermia—may lead to harmful outcomes. Evidence on managing temperature in septic patients remains inconclusive, with limited support for the use of antipyretics or cooling

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Sepsis

“The NET effect”: Neutrophil extracellular traps—a potential key component of the dysregulated host immune response in sepsis

Abstract Neutrophils release neutrophil extracellular traps (NETs) as part of a healthy host immune response. NETs physically trap and kill pathogens as well as activating and facilitating crosstalk between immune cells and complement. Excessive or inadequately resolved NETs are implicated in the underlying pathophysiology of sepsis and other inflammatory diseases, including amplification of the inflammatory

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Sepsis

Operationalizing Appropriate Sepsis Definitions in Children Worldwide: Considerations for the Pediatric Sepsis Definition Taskforce

Abstract Sepsis is a leading cause of global mortality in children, yet definitions for pediatric sepsis are outdated and lack global applicability and validity. In adults, the Sepsis-3 Definition Taskforce queried databases from high-income countries to develop and validate the criteria. The merit of this definition has been widely acknowledged; however, important considerations about less-resourced

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Sepsis

Current perspectives in the management of sepsis and septic shock

Abstract Within patients with sepsis, there exists significant heterogeneity, and while all patients should receive conventional therapy, there are subgroups of patients who may benefit from specific therapies, often referred to as rescue therapies. Therefore, the identification of these specific patient subgroups is crucial and lays the groundwork for the application of precision medicine based

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Sepsis

The role of phospholipid transfer protein in sepsis-associated acute kidney injury

Abstract Background Phospholipid transfer protein (PLTP), a glycoprotein widely expressed in the body, is primarily involved in plasma lipoprotein metabolism. Previous research has demonstrated that PLTP can exert anti-inflammatory effects and improve individual survival in patients with sepsis and endotoxemia by neutralizing LPS and facilitating LPS clearance. However, the role of PLTP in sepsis-associated acute

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Sepsis

Advances and Challenges in Sepsis Management: Modern Tools and Future Directions

Abstract Sepsis, a critical condition marked by systemic inflammation, profoundly impacts both innate and adaptive immunity, often resulting in lymphopenia. This immune alteration can spare regulatory T cells (Tregs) but significantly affects other lymphocyte subsets, leading to diminished effector functions, altered cytokine profiles, and metabolic changes. The complexity of sepsis stems not only from its

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Miscellaneous

Assessing fluid responsiveness with ultrasound in the neonatal intensive care setting: the mini-fluid challenge

Abstract The mini-fluid challenge (MFC) can guide individualised fluid therapy and prevent fluid overload and associated morbidity in adult intensive care patients. This ultrasound test is based on the Frank-Starling principles to assess dynamic fluid responsiveness, but limited MFC data exists for newborns. This brief report describes the feasibility of the MFC in 12 preterm infants

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Sepsis

Megakaryocyte in sepsis: the trinity of coagulation, inflammation and immunity

Abstract Background Megakaryocytes are traditionally recognized as cells responsible for platelet production. However, beyond their role in thrombopoiesis, megakaryocytes also participate in inflammatory responses and regulate immune system functions. Sepsis, characterized by life-threatening organ dysfunction due to a dysregulated response to infection, prominently features coagulopathy, severe inflammation, and immune dysfunction as key pathophysiological aspects. Aim

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