Your SlideShare is downloading. ×
  • Like
Alcohol withdrawal syndrome sedation
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Now you can save presentations on your phone or tablet

Available for both IPhone and Android

Text the download link to your phone

Standard text messaging rates apply

Alcohol withdrawal syndrome sedation

  • 2,826 views
Published

Alcohol withdrawal syndrome; a brief review on sedation of the agitated delirious patient.

Alcohol withdrawal syndrome; a brief review on sedation of the agitated delirious patient.

Published in Health & Medicine
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
No Downloads

Views

Total Views
2,826
On SlideShare
0
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
1
Comments
0
Likes
1

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. Alcohol Withdrawal Syndrome Sedation javier benitez (@jvrbntz) In 5 slides or less...
  • 2. Case PresentationA middle age man with multiple comorbiditiesincluding previous ICU admissions for AWSwith delirium tremens. He is in the hospitalthis time with AWS and agitation difficult tocontrol.Discuss the progression of sedative agents thatmay be used in agitated patients with severedelirium?
  • 3. ● Progressively IV bolus of benzodiazepines or barbiturates – Associated with decrease length of stay, mechanical ventilation, pneumonia in not severely agitated – Phenobarb: narrow therapeutic window, long half-life● Titrated IV infusion of benzodiazepines – Consider in more severe agitated patients,especially if sedation was not achieved with IV bolus● Addition of IV rescue to #1 or #2 – Propofol: risks of hypotension, bradycardia, propofol infusion syndrome – Dexmedetomedine: a agonist > clonidine, less delirium● These meds have the risk of respiratory depression
  • 4. ReferenceAlcohol Withdrawal SyndromeRichard W. Carlson, MD, PhD, Nivedita N. Kumar, MD, Edna Wong-Mckinstry, MD, Srikala Ayyagari, MD, Nitin Puri, MD, Frank K. Jackson,Shivaramaiah Shashikumar, MDCritical Care Clinics, Volume 28, Issue 4 , Pages 549-585, October 2012