THE IMPACT OF PREDICTED VALUE OF SONOGRAPHIC ASSESSMENT OF INTRAVASCULAR FLUID ESTIMATE (SAFE) SCORE IN SEPTIC SHOCK PATIENTS | ||
| ALEXMED ePosters | ||
| Volume 7, Issue 3, July 2025, Pages 51-52 | ||
| Document Type: Preliminary preprint short reports of original research | ||
| DOI: 10.21608/alexpo.2025.418081.2257 | ||
| Authors | ||
| Amr Abdallah El-Morsy1; Waleed Saleh AbdEl-Hady2; Ahmed Mohamed Nabil3; Mohamed Mamdouh Sedky Khidr Nasif* 4 | ||
| 1Department of Critical Care Medicine, FacDepartment of Critical Care Medicine, Faculty of Medicine, Alexandria Universityulty of Medicine, Alexandria University | ||
| 2Department of Critical Care Medicine, FaDepartment of Critical Care Medicine, Faculty of Medicine, Alexandria Universityculty of Medicine, Alexandria University | ||
| 3Department of Critical Care Medicine Faculty Department of Critical Care Medicine, Faculty of Medicine, Alexandria Universityof Medicine Alexandria University | ||
| 4Department of Critical Care Medicine, Faculty of Medicine, Alexandria University | ||
| Abstract | ||
| Sepsis causes life-threatening organ dysfunction; septic shock involves hypotension and elevated lactate despite fluids. Early resuscitation includes individualized fluid therapy, vasopressors, and antimicrobials. Intravascular volume assessment using IVC ultrasound offers non-invasive guidance but is limited by patient, physiological, and technical factors. Integrated multi-organ ultrasonography improves accuracy.Lung ultrasound detects interstitial edema, guides fluid management, evaluates ventilated lungs, monitors B-lines, atelectasis, and diaphragmatic function.The SAFE score standardizes ICU bedside ultrasound to assess intravascular volume (IVV) by evaluating heart function, lungs (B-lines), IVC, and IJV, scoring each from −1 to +1. Total scores indicate hypovolemia (−4 to −2), euvolemia (−1 to +1), or hypervolemia (+2 to +4). POCUS guides fluid management, monitors pulmonary edema, and predicts hemodynamic status, complementing clinical parameters. APACHE II, ranging 0–71, assesses illness severity within 24 hours of ICU admission, correlating higher scores with mortality risk and informing triage, treatment, and prognosis decisions. AIM OF THE WORK This research set out to determine if septic shock patients benefited from using the SAFE score, which is a sonographic evaluation of intravascular fluid estimation. | ||
| Keywords | ||
| (SAFE) SCORE; SEPTIC SHOCK; IVC ultrasound | ||
|
Supplementary Files
|
||
|
Statistics Article View: 10 |
||
