Decompensated Cirrhosis
Conditions
Brief summary
All consecutive patients admitted in ILBS from MAY 2015 to DECEMBER 2016. Decompensated cirrhosis patients will be randomized into Group 1: MVP (Moderate Volume Paracentesis) of less than 5 litres with iv albumin at a dose 8 gms/l of ascitic fluid Group 1: MVP (Moderate Volume Paracentesis) of less than 5 litres without albumin .
Interventions
MVP of less than 5 liters with iv albumin at a dose 8 gms/L of ascitic fluid.
Sponsors
Study design
Eligibility
Inclusion criteria
1. All Cirrhotics decompensated with ascites admitted in the hospital. 2. Grade II/III ascites 3. Need for paracentesis.
Exclusion criteria
1. Age \<12 or \> 75 years 2. Hepatocellular carcinoma 3. Non cirrhotic ascites such as malignancy or tubercular peritonitis 4. Serum Cr \>1.5mg% 5. Refractory septic shock 6. Grade III/IV hepatic encephalopathy 7. Abdominal wall cellulitis 8. Active variceal bleed 9. Respiratory, cardiac and renal failure 10. Refusal to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of PICD (Paracentesis Induced Circulatory Dysfunction). | 1 Year |
Secondary
| Measure | Time frame |
|---|---|
| Survival | 28 days |
| Total number of patients develop Hepatorenal Syndrome. | 1 Year |
| Total number of patients develop hyponatremia. | 1 Year |
| Changes in plasma Renin activity. | 1 Year |
| Changes in aldosterone with volume of ascitic fluid tap. | 1 year |
Countries
India