Addressing the Complexity of Septic Microvascular Dysfunction: Shear Stress and Beyond By Ivor Popovich July 20, 2026 Critical Care Share Summary Takeaways Listen Insight Report Poll 1 Septic microvascular dysfunction involves leucocyte adhesion, coagulation, and endothelial shedding. 2 Shear stress influences adhesion and thrombosis, highlighting its role in septic microvascular dysfunction. 3 Biological and physical models complement each other in understanding complex processes like sepsis. 4 The shear model remains experimentally untested, and its relevance to sepsis requires further investigation. 5 The dominant theory of cytokine storm in sepsis has not improved patient outcomes despite extensive research.