background: alcohol withdrawal syndrome (aws) is one of the most serious complications associated with chronic alcoholism. sudden deaths are not uncommon in aws. in severe stages of aws, delirium tremens (dt) occurs, which is characterized with agitation, global confusion, disorientation, visual and auditory hallucinations in addition to autonomic hyperactivity. case report: a 30-year old man, ...

background: for treatment of severe alcohol withdrawal syndrome, high dose benzodiazepines (bzds) may cause delirium and over-sedation. phenobarbital (pbt) is a long-acting barbiturate effective for the treatment of alcohol withdrawal. given the potential benefits of pbt, we sought to investigate the effectiveness of pbt as adjunctive treatment for alcohol withdrawal. methods: this was a retros...

Managing acute alcohol withdrawal in critical care presents a unique challenge to the critical care nurse. The prominence of alcohol use within the Australian community means that many critical care admissions involve acute alcohol withdrawal, an alcohol induced illness, or indeed an unrelated admission with underlying heavy alcohol intake. Current statistics suggest 1 in 5 Australians drink to...

BACKGROUND Alcohol withdrawal delirium is the most serious manifestation of alcohol withdrawal. Evidence suggests that appropriate care improves mortality, but systematic reviews are unavailable. METHODS Articles with original data on management of alcohol withdrawal delirium underwent structured review and meta-analysis. RESULTS Meta-analysis of 9 prospective controlled trials demonstrated...

Are benzodiazepines and anticonvulsants effective for patient with alcohol withdrawal symptoms？(Are anticonvulsants more effective than benzodiazepines？) P: alcohol withdrawal I: benzodiazepines and anticonvulsants C: placebo or active placebo O: prevent or relief alcohol symptoms (ex: delirium, seizure) , prevent re-intake alcohol 關鍵字(Key words): (alcohol withdrawal and benzodiazepine) (alcoho...

Management of alcohol withdrawal in critically ill patients is a challenge. The alcohol consumption histories of intensive care patients are often incomplete, limiting identification of patients with alcohol use disorders. Abrupt cessation of alcohol places these patients at risk for alcohol withdrawal syndrome. Typically benzodiazepines are used as first-line therapy to manage alcohol withdraw...

BACKGROUND Alcohol withdrawal delirium (AWD) is associated with significant morbidity and mortality. Pellagra (niacin deficiency) can be a cause of delirium during alcohol withdrawal that may often be overlooked. OBJECTIVES We present a three-patient case series of pellagrous encephalopathy (delirium due to pellagra) presenting as AWD. METHODS We provide a brief review of pellagra's history...