Ultrasound-guided fluid treatment versus standard care for cirrhosis with severe infection

This trial is testing whether using portable ultrasound imaging of your heart can help doctors decide how much fluid to give you if you develop a severe infection while managing cirrhosis (liver scarring). The new approach, called point-of-care echocardiography, lets doctors see how your heart is working in real time, rather than relying only on blood pressure numbers. The goal is to see if this ultrasound-guided method helps patients recover better and survive longer.

Patients with cirrhosis who get severe infections are at very high risk because their bodies handle fluids differently than people with healthy livers. Doctors currently use standard blood pressure targets to guide treatment, but this approach doesn't always work well for cirrhosis patients. This trial is testing whether seeing the heart's actual function with ultrasound can lead to better, safer fluid treatment decisions.