Multiple organ dysfunction syndrome (MODS) – from molecules to the bedside
Authors:
Chvojka Jiří; Raděj Jaroslav; Karvunidis Thomas; Kroužecký Aleš; Novák Ivan; Matějovič Martin
Authors‘ workplace:
I. interní klinika, Jednotka intenzivní péče, Univerzita Karlova v Praze, Lékařská fakulta v Plzni a Fakultní nemocnice Plzeň
Published in:
Anest. intenziv. Med., 21, 2010, č. 3, s. 158-164
Category:
Intensive Care Medicine - Review Article
Overview
Multiple organ dysfunction syndrome (MODS) is one of the most common causes of death in the intensive care units. This review summarizes recent progress in our understanding of the pathophysiological mechanisms leading to MODS including the concept of mitochondrial dysfunction and apoptosis. The crucial therapeutic measures are early and adequate haemodynamic resuscitation together with elimination of the causative factors. Prevention of iatrogenic insults, potentially worsening MODS, should be an integral part of the therapeutic approach.
Keywords:
multiple organ dysfunction syndrome – sepsis – shock – pathophysiology – therapy – intensive care – organ support
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Anaesthesiology and Intensive Care Medicine
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