Alcohol withdrawal syndrome: Current management strategies for the surgery patient

Morris, Patrick R; Mosby, Edward L.; Ferguson, Brett L.

doi:10.1016/s0278-2391(97)90649-2

Cited by 17 publications

(4 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hallucinations and seizures may also develop. 1,11,12 Circulatory collapse, coma, and death secondary to cardiac arrhythmias, respiratory failure, and other conditions are all potential outcomes. The mortality rate has significantly declined from 15 to 25 percent to 2 to 4 percent over the last four decades due to the use of benzodiazepines.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Management of Alcohol Withdrawal in Microvascular Head and Neck Reconstruction

Weinfeld

Davison

Mason³

et al. 2000

J reconstr Microsurg

View full text Add to dashboard Cite

Alcohol use is a risk factor for head and neck cancer. One of the primary therapeutic modalities is surgical tumor ablation followed by immediate reconstruction. Such therapy places patients in a controlled environment, without alcohol, creating the risk of alcohol withdrawal syndrome. The authors attempted to identify the incidence of alcohol withdrawal among patients undergoing free-flap reconstruction for head and neck cancer and were interested in the effect of alcohol withdrawal on the postoperative course of affected patients. In this retrospective review of 51 patients, six experienced alcohol withdrawal or delirium tremens. No difference in the rate of overall complications was seen between the patients who experienced withdrawal and those who did not, although patients who experienced withdrawal did have a statistically significant ratio of non-flap-related to flap-related complications. A review of the current management for alcohol withdrawal is included and places an emphasis on preoperative screening, close observation, rapid diagnosis, and immediate medical care.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Fifteen percent of an estimated 100 million persons who use alcohol in the United States will become alcohol-dependent. 1 Alcohol consumption is synergistic with tobacco smoking in the development of head and neck cancer. 2 Therefore, heavy alcohol use is frequent among head and neck cancer patients.…”

mentioning

confidence: 99%

Management of Alcohol Withdrawal in Microvascular Head and Neck Reconstruction

Weinfeld

Davison

Mason³

et al. 2000

J reconstr Microsurg

View full text Add to dashboard Cite

show abstract

“…Without prophylaxis, autonomic symptoms of alcohol withdrawal syndrome (AWS) develop within 5 to 10 hours of cessation of consumption. If proper management measures are not taken, the patient may progress to severe alcohol withdrawal or delirium tremens (DTs) that may be accompanied by seizures, hallucinations, and confusion in addition to sympathetic hyperactivity and possibly death 4 . The morbidity associated with alcohol withdrawal has prompted the establishment of a benzodiazepine alcohol withdrawal protocol at our institution 5 .…”

Section: Introductionmentioning

confidence: 99%

“…If proper management measures are not taken, the patient may progress to severe alcohol withdrawal or delirium tremens (DTs) that may be accompanied by seizures, hallucinations, and confusion in addition to sympathetic hyperactivity and possibly death. 4 The morbidity associated with alcohol withdrawal has prompted the establishment of a benzodiazepine alcohol withdrawal protocol at our institution. 5 Although there are data demonstrating the value of this prophylactic method in the management of alcohol withdrawal symptoms, the efficacy of this protocol in the prevention of postoperative complications has not yet been established.…”

Section: Introductionmentioning

confidence: 99%