Comparison And Outcomes Of Fluid Resucitation With 0.9% Normal Saline And 5% Albumin In Cirrhosis Patients With Sepsis Induced Hypotension

Exclusion Criteria

• •1. Cirrhosis patients in septic shock who are already on vasopressors and/or inotropes
• •2. Cirrhosis patients in septic shock with structural heart disease
• •3. Cirrhosis patients in septic shock with chronic renal failure/dialysis dependent/volume overloaded state
• •4. Cirrhosis patients in shock, caused by other reasons, other than septic shock
• •5. Cirrhosis patients in septic shock in whom contraindication to internal jugular or subclavian line insertion is present
• •6. Age less than 18 years
• •7. Previous episode of septic shock during the same hospital stay
• •8. Pregnant or lactating women
• •9. Patients in need for emergent surgical interventions
• •10. Cirrhosis patients in septic shock with chronic obstructive lung disease and right heart failure
• •11. Cirrhosis patients in septic shock with associated upper gastrointestinal bleed or coagulopathy related bleed with a haemoglobin of less than 8g/dL or requiring urgent transfusions of blood and blood products
• •12. A previous adverse reaction to human albumin solution