Management of Delirium Tremens

@article{Debellis2005ManagementOD,
  title={Management of Delirium Tremens},
  author={Ronald J. Debellis and Brian S. Smith and Su-Im Choi and Michael Malloy},
  journal={Journal of Intensive Care Medicine},
  year={2005},
  volume={20},
  pages={164 - 173}
}
Delirium tremens is recognized as a potentially fatal and debilitating complication of ethanol withdrawal. Research thus far has primarily focused on the prevention of delirium tremens. 
View on SAGE
ectweb.pbworks.com
53 Citations
Highly Influential Citations
5
Background Citations
16

Figures and Tables from this paper

53 Citations

Citation Type

Citation Type

Twenty per hour: altered mental state due to ethanol abuse and withdrawal.
Manage delirium in critically ill patients through prevention, early diagnosis and treatment
TLDR
Intravenous haloperidol is the recommended treatment for delirium and may also be considered for prophylaxis and the use of sedative and analgesic agents that may causeDelirium should be avoided.
Delirium Tremens: Assessment and Management.
Delirium in the Intensive Care Unit
TLDR
An overview of clinical characteristics, risk factors and treatment for delirium in the ICU, recognized as one of the most common complica tions in the intensive care unit (ICU).
Use of propofol infusion in alcohol withdrawal-induced refractory delirium tremens.
TLDR
This study suggests that treatment with propofol is viable in refractory delirium tremens, and establishing indication, dose, duration, and long-term effects of prop ofol treatment of deliria tremens requires further investigation.
The role of diazepam loading for the treatment of alcohol withdrawal syndrome in hospitalized patients.
TLDR
Diazepam loading significantly improved a number of important outcomes in AWS, including time in DTs, compared to traditional treatment strategies, and is an effective treatment option for hospitalized patients experiencing AWS.
Psychomotor Agitation in Critically Ill Patients and the Role of Sedation: A Review of Literature
TLDR
It is crucial for clinicians and units to develop guidelines and protocols for the administration of sedatives depending on the type of patient population, and newer drugs, such as dexmedetomidine and remifentanyl, should be intro= duced and extensively studied.
Inpatient Management of Acute Alcohol Withdrawal Syndrome
TLDR
Alcohol withdrawal is a common condition encountered in the hospital setting after abrupt discontinuation of alcohol in an alcohol-dependent individual and management revolves around early identification of at-risk individuals and symptom assessment using a validated tool such as the revised Clinical Institute Withdrawal Assessment for Alcohol score.
OBRAVNAVA BOLNIKA Z DELIRIJEM
TLDR
This work has shown that Benzodiazepines are usually preferred for withdrawal delirium or as an alternative or adjuvant to antipsychotics when these are ineffective or cause unacceptable side effects.
Agrypnia excitata: current concepts and future prospects in management.
TLDR
The following is an overview of agrypnia excitata with a particular emphasis placed upon each of the three individual conditions that constitute the syndrome with recommendations on appropriate management.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 38 REFERENCES
Refractory delirium tremens treated with propofol: a case series.
TLDR
Four patients with delirium tremens who proved refractory to high doses of benzodiazepines and were successfully treated with a propofol infusion are described.
Unprecedented sedative requirements during delirium tremens.
TLDR
A 34-yr-old male in delirium tremens required a total of 2640 mg iv diazepam for adequate sedation, and doses higher than those currently recommended may be required.
Parameters affecting the course and results of delirium tremens treatment
TLDR
The histories of 778 patients were analysed and the lethality was highest in patients in the higher age range, those who were overweight and in spirit drinkers, and in patients treated with chlormethiazole.
Acute Myocardical Infarction due toDelirium tremens
A 36-year-old patient with normal-appearing coronary arteries suffered an acute Q-wave myocardial infarction during acute alcohol withdrawal and delirium tremens. Sympathetic hyperactivity with…
Alcohol withdrawal syndromes.
TLDR
Evaluation and therapy for delirium tremens, major alcohol withdrawal, mild alcohol withdrawals, adjunct therapy, and admission criteria are discussed.
Management of drug and alcohol withdrawal.
This review summarizes the current approaches to the management of withdrawal in patients addicted to sedatives such as alcohol or benzodiazepines, opioids, or stimulants such as amphetamines or…
Delirium Tremens.
Treatment of Alcohol Withdrawal
Appropriate treatment of alcohol withdrawal (AW) can relieve the patient’s discomfort, prevent the development of more serious symptoms, and forestall cumulative effects that might worsen future…
[Benzodiazepines in the treatment of alcoholism].
TLDR
Benzodiazepines more prevent withdrawal symptoms than they reverse severe ethanol withdrawal symptomatology, on humans like on experimental animals and one must not overrate its importance.
Refining the treatment of alcohol withdrawal.
TLDR
Because there are different drugs available to treat alcohol withdrawal, physicians may be confused as to which one and which dosage regimen should be used as first-line therapy, and clonidine is effective for treatment of alcohol withdrawal symptoms but is not recommended as first line therapy because it does not prevent seizures.
...
1
2
3
4
...