Sepsis
Conditions
Keywords
Glycocalyx, PBR, microcirculation
Brief summary
The aim of this observative, prospective study with cross-sectional design is to explore possible correlations/associations between microcirculation parameters and sublingual endothelial glycocalyx in sepsis. Therefore, 30 critically ill septic patients and 10 healthy controls were enrolled.
Interventions
Non-invasive assessment of endothelial glycocalyx dimensions (PBR) and microcirculatory parameters (e.g. PPV, PVD, TVD, MFI)
Sponsors
Study design
Eligibility
Inclusion criteria
- septic ICU cohort: * Sepsis (based on sepsis-3 criteria) * ICU stay Inclusion Criteria - healthy controls: \- Adult healthy individuals
Exclusion criteria
(for all groups): * Underage * pregnancy * oral mucosal inflammation or injury
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlations between Perfused Boundary Region (PBR) and Microvascular Flow Index (MFI) measured sublingually | During ICU stay, an average of 2 days after sepsis onset | Glycocalyx thickness will be measured with PBR (in μm) and MFI will be assessed in points. Possible correlations at a given timepoint will be explored (e.g. Spearman's Correlation). |
| Correlations between Perfused Boundary Region (PBR) and Proportion of Perfused Vessels (PPV) measured sublingually | During ICU stay, an average of 2 days after sepsis onset | Glycocalyx thickness will be measured with PBR (in μm) and PPV will be assessed in percentage. Possible correlations at a given timepoint will be explored (e.g. Spearman's Correlation). |
| Correlations between Perfused Boundary Region (PBR) and Perfused Vessel Density (PVD) measured sublingually | During ICU stay, an average of 2 days after sepsis onset | Glycocalyx thickness will be measured with PBR (in μm) and PVD will be assessed in mm/mm\^2. Possible correlations at a given timepoint will be explored (e.g. Spearman's Correlation). |
Countries
Germany