Types of Photoplethysmographic Waves in Adult Patients with Septic Shock

Inclusion Criteria: * Adult patients of 18 years of age and above dignossed with septic shock according to the definition stated in Sepsis 3.0 * Patients with axillary temperature above 36°C * Patients and/or family that agree to participate in such study and sign the informed consentment * Patients that tolerate supine position Exclusion Criteria: * Patients with Cardiogenic shock, hipovolemic, obstructive and distributive (neurogenic, anafilactic) shock the exception being septic shock * Patients with history of any type of cardiac arrhythmia * Patients with history of chronic hepatic disease * Patients with limited or diffuse systemic sclerosis * Patients that have scarring, nail polish or thickened nails that may impede the proper placement and accurate measurement of photoplethysmography with the pulse oximeter * Patients with history of heart insufficiency P- atients with septic shock that already have vasopressor aggents