A Novel Approach: Non invasive management of patients under the surviving sepsis campaign guidelines. A case series of 5 patients.

Fluid resuscitation is the most critical intervention during initial phase of management in septic patients. We used some simple non invasive method which can be followed easily for estimation of fluid status and response to fluid therapy. We used ultrasonography of IVC & Echocardiography evaluation of velocity time integral through aortic valve flow to guide fluid administration as surrogate markers of CVP. Periodic estimation of lactate concentration to assess tissue oxygenation with aim of lactate reversal of 10% per hour was used in place of central venous oxygen saturation.