Inclusion Criteria:  Clinical/Imaging or Biopsy proven liver cirrhosis of any etiology Hypotension (MAP <65mmHg or SBP <90mmHg) 18-65 yrs of age  Exclusion Criteria:  Already received colloid or 2 litres of fluid within the first 12 hours of presentation Already on vasopressors/inotropes Severe pre-existing cardiopulmonary disease Acute Respiratory Distress Syndrome (ARDS) Active bleeding like variceal bleed 28 Cerebrovascular events Chronic renal disease - End Stage Renal Disease (ESRD)/ patient on renal replacement therapy Admission to ICU following liver transplantation, burns, cardiac surgery Brain death or likely brain death within 24 hours Previous adverse reaction to human albumin solution Pregnant or lactating women Informed consent refused by patient or attendants