Fluid administration limited by lung sonography (FALLS) protocol versus early goaldirected therapy (EGDT) as an end point of fluid resuscitation in septic shock / Alaa Mahmoud Ali Mahmoud ; Supervised Dalia Mohamed Abdo Ragab , Nael Samir Ahmed , Moataz Moahmed Ibrahim Ellhallag

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine

This was a prospective, randomized controlled study conducted on 40 patients septic shock; aiming at assessing a simplified lung ultrasound protocol in guiding early fluid resuscitation of patients with septic shock by postulating a score upon which further fluid resuscitation should be stopped to avoid fluid overload effects. 40 consecutive adult patients with septic shock in the ICU of Nasr city hospital for health insurance. Adult patients {u2265}18 years old with septic shock (mean arterial pressure <65 mmHg with evidence of poor tissue perfusion) who are diagnosed in the first 6 hours requiring fluid therapy. Patients will be divided randomly into two groups: the first will receive fluid resuscitation according to early goal-directed therapy with a target central venous pressure of 8{u2013}12 mmHg, whereas the second will receive fluids guided by simplified lung ultrasound protocol till reaching a score of 16

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