Evaluate the of effect of alpha-lipoic acid in critically ill septic patients. 80 septic patients will be enrolled from Damanhur National medical institute, and they will be randomized using simple randomization into control group will receive placebo and ALA group will be given 1800 mg orally or via a nasogastric tube of ALA daily for seven days .
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Sequential Organ Failure Assessment (SOFA) Score
Timeframe: 1 week
CRP (mg/L)
Timeframe: 1 Week
Syndecan 1 (ng/mL)
Timeframe: 1 Week
IL-6 (pg/mL)
Timeframe: 1 Week