Inpatient management of alcohol withdrawal: a practical approach

被引:4
|
作者
Chabria, Shiven B. [1 ]
机构
[1] Yale Univ, Sch Med, Waterbury Hosp, Dept Internal Med, Waterbury, CT USA
关键词
substance abuse; pharmacology; addiction; pathophysiology; critical care;
D O I
10.22514/SV31.042008.3
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Alcohol intake contributes directly or indirectly to 15 to 20% of medical problems in primary care or an inpatient setting. It is estimated that approximately 500, 000 episodes of withdrawal will be severe enough to require pharmacologic intervention. The total cost to the United States economy from alcohol abuse was estimated to be $185 billion for 1998. This review attempts to put forth a practical and evidence based approach towards the inpatient management of alcohol withdrawal. Various agents and their pharmacology are described. Strength of evidence regards to efficacy and shorter inpatient stays is examined.
引用
收藏
页码:24 / 29
页数:6
相关论文
共 50 条
  • [41] Assessment of a modified MINDS-based protocol for management of alcohol withdrawal syndrome on an inpatient medical service
    Krcmarik, Kevin M.
    Hulley, Benjamin J.
    Huang, Jiayi
    Juang, Derek
    Cadman, Peter
    Urbiztondo, Charisma
    Vo, Christine
    Vargas, Jaclyn
    Motarjemi, Ramin
    Moinizandi, Tarlan
    Kwan, Brian
    PHARMACOTHERAPY, 2023, 43 (12): : 1297 - 1306
  • [42] Practical management of inpatient diabetes regimens
    Robertson, Doug
    BRITISH JOURNAL OF HOSPITAL MEDICINE, 2008, 69 (02) : M22 - M25
  • [43] Efficacy and safety of levetiracetam in the inpatient treatment of alcohol withdrawal syndrome
    Richter, C.
    Schmitt, C.
    Kienast, V
    Hinzpeter, A.
    Schaefer, M.
    PHARMACOPSYCHIATRY, 2007, 40 (05) : 236 - 236
  • [44] Oxcarbazepine in Combination with Tiaprid in Inpatient Alcohol-withdrawal - a RCT
    Croissant, B.
    Loeber, S.
    Diehl, A.
    Nakovics, H.
    Wagner, F.
    Kiefer, F.
    Mann, K.
    PHARMACOPSYCHIATRY, 2009, 42 (05) : 175 - 181
  • [45] ALCOHOL-WITHDRAWAL - A NATIONWIDE SURVEY OF INPATIENT TREATMENT PRACTICES
    SAITZ, R
    FRIEDMAN, LS
    MAYOSMITH, MF
    JOURNAL OF GENERAL INTERNAL MEDICINE, 1995, 10 (09) : 479 - 487
  • [46] Approach and Management of Alcohol Withdrawal Syndrome in Operative Head and Neck Cancer Patients
    Desai, Veeral
    Lamba, Wiplove
    de Almeida, John
    Goldstein, David
    OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2023, 168 (05) : 1258 - 1260
  • [47] A multidisciplinary approach to the identification and management of cardiothoracic surgical patients at risk for alcohol withdrawal
    Collins, Gregory B.
    Yared, J. P.
    McAllister, M. S.
    Adury, K. S.
    Hanushcock, R.
    AMERICAN JOURNAL ON ADDICTIONS, 2008, 17 (04): : 331 - 332
  • [48] Management of drug and alcohol withdrawal - Reply
    Kosten, T
    O'Connor, P
    NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (04): : 406 - 407
  • [49] PHARMACOLOGICAL MANAGEMENT OF ALCOHOL-WITHDRAWAL
    NAIK, P
    LAWTON, J
    BRITISH JOURNAL OF HOSPITAL MEDICINE, 1993, 50 (05) : 265 - 269
  • [50] MANAGEMENT OF ACUTE ALCOHOL WITHDRAWAL STATES
    GROSS, MM
    QUARTERLY JOURNAL OF STUDIES ON ALCOHOL, 1967, 28 (04): : 655 - 666