INFERIOR VENA CAVA DISTENSIBILITY VERSUS LEFT VENTRICULAR OUTFLOW TRACT VELOCITY TIME INTEGRAL IN FLUID RESPONSIVENESS IN SEPTIC SHOCK

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Critical Care Medicine, Faculty of Medicine, Alexandria University

2 Department of Critical Care, Faculty of Medicine, Alexandria University

Abstract

Sepsis is a clinical condition defined by the body's widespread react to infection, which can result in systemic inflammation and potential organ dysfunction that has physiological, biological, and biochemical disturbances that are due to an uncontrolled host response to infection. Sepsis which subsequently results in the inflammatory response can eventually cause multiple organ dysfunction syndrome and death.
Nowadays, fluid resuscitation is seen as a crucial part of early sepsis treatment. Echocardiography is becoming regarded as the first-line monitoring method of choice in patients with hemodynamic compromise since it offers significantly more information on the etiology of shock than only Fluid ressustation. It is possible to evaluate both static and dynamic characteristics to create an image of the circulatory status.

AIM OF THE WORK:
The aim of this study was to compare between left ventricular outflow tract (LVOT) velocity time integral (VTI) and inferior vena cava (IVC) distensibility in predicting fluid responsiveness in mechanically ventilated septic shock patients.

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