In intensive care patients, delirium triggered by alcohol withdrawal is underestimated despite the fact that it occurs in approximately 10% of all ICU patients. Alcohol withdrawal delirium is the most serious manifestation of alcohol withdrawal and it is associated with even more complications and poor outcome. Therefore, it should be prevented; if it does occur it should be treated as early as possible to avoid negative sequelae, in particular infections, cardiac complications and long-term cognitive dysfunction. In this article we summarize strategies to detect alcohol use disorders and alcohol withdrawal and those for treating alcoholic withdrawal and delirium tremens.
机构:
Univ Queensland, Trauma & Crit Care Res Ctr, Brisbane, Qld 4029, Australia
Australian Def Force Acad, Joint Hlth Command, Brisbane, Qld, AustraliaUniv Queensland, Trauma & Crit Care Res Ctr, Brisbane, Qld 4029, Australia
Reade, Michael C.
Finfer, Simon
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机构:
George Inst Global Hlth, Sydney, NSW, Australia
Univ Sydney, Royal N Shore Hosp, Sydney, NSW 2006, AustraliaUniv Queensland, Trauma & Crit Care Res Ctr, Brisbane, Qld 4029, Australia
Finfer, Simon
NEW ENGLAND JOURNAL OF MEDICINE,
2014,
370
(05):
: 444
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454
机构:
Univ Maryland, Med Ctr, Neurocrit Care Unit, 22 S Greene St, Baltimore, MD 21201 USA
Univ Maryland, Sch Nursing, 655 West Lombard St, Baltimore, MD 21201 USAUniv Maryland, Med Ctr, Neurocrit Care Unit, 22 S Greene St, Baltimore, MD 21201 USA
Haymore, Joseph B.
Patel, Nikhil
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Univ Maryland, Sch Med, Dept Neurol, 620 West Lexington St, Baltimore, MD 21201 USAUniv Maryland, Med Ctr, Neurocrit Care Unit, 22 S Greene St, Baltimore, MD 21201 USA
机构:
Southampton Gen Hosp, Gen Intens Care Unit, Southampton SO9 4XY, Hants, EnglandBournemouth Univ, Sch Hlth & Social Care, Bournemouth BH1 3LT, Dorset, England
Arend, Emma
Christensen, Martin
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机构:
Bournemouth Univ, Sch Hlth & Social Care, Bournemouth BH1 3LT, Dorset, EnglandBournemouth Univ, Sch Hlth & Social Care, Bournemouth BH1 3LT, Dorset, England