Health Condition 1: null- Acute on Chronic Liver Failure
Conditions
Interventions
Intervention1: High Volume Plasma Exchange plus Standard therapy: Removal of 15% of ideal body weight equivalent of plasma and replacement with transfusion of fresh frozen plasma.
In addition standa
Sponsors
AIIMS New Delhi
Eligibility
Inclusion criteria
Inclusion criteria: 1. Written informed consent. 2. > 18 years of age. 3. ACLF grade 1 or 2.
Exclusion criteria
Exclusion criteria: 1. ACLF grade 3 2. Systolic blood pressure 3. Lack of informed consent 4. Coexisting severe illness eg. coronary artery disease, malignancy etc 5. Post Liver Transplant patients 5. Pregnancy 6. Active infection- bacterial or fungal. 7. Hepatocellular carcinoma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study the effect of high volume plasma (HVP) exchange on 28 day mortality in patients with alcohol-related ACLF.Timepoint: 28 days | — |
Secondary
| Measure | Time frame |
|---|---|
| To study the effect of HVP on CLIF-C ACLF score, APACHE II and SIRS. To study the effect of HVP on resolution of organ failures in ACLF. To study the effect of high volume plasma exchange on cytokine profile in ACLF. To study the incidence of infections and other complications in ACLF patients undergoing high volume plasma exchange Timepoint: 1 month 1 month 1 month 1 month | — |
Countries
India
Contacts
Public ContactDr Shalimar
All India Institute of Medical Sciences
Outcome results
None listed