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Published in: Intensive Care Medicine 11/2004

01-11-2004 | Seminal Study

Oxygen transport—the oxygen delivery controversy

Authors: Jean-Louis Vincent, Daniel De Backer

Published in: Intensive Care Medicine | Issue 11/2004

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Excerpt

Most cellular activities require energy in the form of oxygen, primarily obtained from the degradation of adenosine triphosphate (ATP) and other high-energy compounds. Oxygen must be present in sufficient amounts in the mitochondria to maintain effective concentrations of ATP in the electron transport system. Cells have to perform a series of activities essential for survival, including membrane transport, growth, cellular repair and maintenance processes. In addition, cells often have facultative functions such as contractility, electrolyte or protein transport, motility and various biosynthetic activities. If oxygen availability is limited, cellular oxygen consumption may fall and become supply-dependent. Facultative functions are the first to be altered, leading to organ dysfunction. If the situation becomes more serious, obligatory functions can no longer be maintained and irreversible alterations may occur. …
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Metadata
Title
Oxygen transport—the oxygen delivery controversy
Authors
Jean-Louis Vincent
Daniel De Backer
Publication date
01-11-2004
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 11/2004
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-004-2384-4

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