Comparision of Septic Shock indices in Post - Congenital Cardiac Surgery sepsis in Infants- A single centre Prospective Longitudional study.

New surgical methods, increased perioperative care has caused a boost of congenital cardiac surgeries in third-world countries, leading to a greater number of infant congenital cardiac surgeries in underdeveloped countries because of the increase in infant  cardiac surgical procedures with better results, even though significant postoperative illnesses and mortality remain mainly because of sepsis. Initial resuscitation of shock is commonly guided by the normalization of hemodynamic and laboratory variables such as HR, BP, central venous pressure, and lactic acid. SI may be a good and non invasive measure of the degree of hemodynamic stability and may be used as an indicator of tissue perfusion. It has been shown to correlate with other indices of end‑organ perfusion such as central vena cava oxygen saturation and lactate concentration. We will examine if SI, DSI and MSI can be employed as a non-invasive tool to identify neonates with a heightened mortality risk than HR and BP in post-cardiac surgical patients with sepsis.