The Effects of Albumin on Hepatology

Getting albumin on day one and three with SVP is very important. There has been some studies suggesting you don't need to do it unless they're creatinine is greater than one or their billi is greater than four. I typically just, if they have SVP, they get albumin. They have looked at albumin and other infections in cirrhosis like pneumonia, urinary tract infections and it doesn't seem to work. It seems to be, it seems to only decrease mortality in SVP for whatever reason. That likely is very related to the development of hepatorhinal syndrome which is oftentimes how people with SVP die.