الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Shock refers to a condition of cell and tissue hypoperfusion that happens if there is a circulatory failure characterized by decreased arterial blood pressure (decreased tissue perfusion), elevated serum lactate and oliguria. Sepsis was described as a “life-threatening organ dysfunction caused by a dysregulated host response to infection”.
Septic shock refers to a type of sepsis in which specifically sever circulatory cell and metabolic abnormality occur thus, sepsis induced hypotension may happen (SBP less than 90 mmHg or DROP of greater than 40 mmHg from baseline or MAP less than 70 mmHg) that remains following sufficient fluid resuscitation. “Adequate” can be detected by estimating the volume condition of the patient before sepsis.
Septic shock, a type of distributive shock, is considered the commonest type of shocks among cases admitted to the ICU.
Sepsis-associated encephalopathy (SAE) refers to multifactorial syndrome manifested by diffuse cerebral dysfunctions promoted by systemic responses to infections with no clinical or lab evidence of directly cerebral infections or other forms of encephalopathy (for example: liver or kidney encephalopathy) or evidence of structural abnormality.
The clinical picture of SAE ranges from mild inattention or disorientation, irritability, and hypersomnolence to markedly disturbed conscious level as detected in coma. Since mortality is elevated with the degree of SAE, early identification and treatment of patients with SAE are crucial to decrease morbidity as well as mortality.
The electroencephalogram (EEG) is one of the methods that allow physicians to continuously monitor the cerebrum and help management decisions. EEG test can detect the electrical activity in the bra