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As early as a few decades ago, it was shown that the glycocalyx covers the surface of most vascular lumens and that microcirculatory dysfunction and endothelial damage play important roles in the multiorgan failure associated with sepsis (53), and also that endothelial dysfunction and microcirculatory impairment are determinants of the severity and duration of sepsis (54)

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Unsaturated VPA metabolites (4-en-VPA and 2, 4-dien-VPA) are potent inducers of microvesicular steatosis in rats, whereas VPA itself failed to induce discernible liver lesions at near lethal doses [60]

Lexigence actuelle des 13 injections/an ne serait-elle pas contraignante