This study analyses the effect of intravenous branched chain amino acids (BCAA) on overt HE in patients with ACLF. The investigators plan to study the efficacy of combining intravenous BCAA with lactulose versus lactulose alone in the medical management of overt HE in patients with ACLF and its impact on overall survival and improvement in grade of HE.
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Improvement of Survival
Timeframe: At day day 28
Improvement of encephalopathy by ≥ 1 grade
Timeframe: 72 hours