Consecutive cirrhotics who present to emergency department of ILBS with documented or suspected sepsis induced hypotension with Hb \<8 gm/dl will be randomly assigned to restrictive (Target Hb 7-8 gm/dl) to liberal (Target Hb 10-11 gm/dl) group in a 1:1 proportion At admission, all patients will undergo physical examination and baseline investigations to identify site of sepsis. Enrolled patients will be given PRBC-transfusion (Not more than two units of PRBC/day) when they reach their assigned trigger value (Hb 7-8 g/dl or 10-11 g/dl ) during the entire ICU stay. All other interventions will be at the discretion of clinicians.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
2 PRBC /day to maintain the target of Hemoglobin 10 to 11 gm/dL. PRBC will be given intravenously at least for 28 days
To maintain the target Hemoglobin of 7 to 8 gm/dL.
Institute of Liver and Biliary Sciences
New Delhi, National Capital Territory of Delhi, India
Mortality in both groups
Time frame: 28 dyas
Improvement in vasopressors in both groups
Improvement is defined as tapering the dose of vasopressors
Time frame: 28 days
Incidence of complications in both groups
Time frame: 28 days
Length of ICU (Intensive Care Unit) stay
Time frame: 28 days
Requirement of mechanical ventilation in both groups
Time frame: 28 days
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