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Meeting
Search Results for alcohol withdrawal
Abstract Number: 240
Hospital Medicine 2020, Virtual Competition
Background: Severe alcohol withdrawal and delirium tremens (DTs) are challenging therapeutic dilemmas. To prevent complications and death, management requires close monitoring and intensive treatment, frequently in an ICU. Benzodiazepines are first line therapeutic agents, but optimal use and dosing has been limited, due to a lack of randomized double-blind trials. In lower acuity patients admitted […]
Abstract Number: 243
SHM Converge 2023
Background: Phenobarbital (PB) has important pharmacological advantages over benzodiazepines (BZDs) for treatment of alcohol withdrawal syndrome (AWS). The American Society of Addiction Medicine recommends PB monotherapy as an alternative to BZDs for prophylaxis or treatment of AWS by providers experienced with its use. Few studies have described the use of PB for AWS outside of […]
Abstract Number: 277
SHM Converge 2021
Background: Alcohol use disorder (AUD) has a lifetime prevalence of 29% in the United States and prevalence is higher among military veterans. Discontinuation of alcohol use in patients with AUD presents a risk for alcohol withdrawal syndrome (AWS). A recent retrospective analysis of Veterans Health Administration (VHA) data estimated AWS occurred in 5.8% of inpatient […]
Abstract Number: 301
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Cardiac telemetry is frequently overused in the hospital. Our institution requires telemetry while patients are on the Clinical Institute Withdrawal Assessment (CIWA) protocol, regardless of the presence or severity of alcohol withdrawal (AW). Telemetry use in this population has not been studied or incorporated into guidelines, however some patients may need monitoring for co-existing indications. […]
Abstract Number: 368
SHM Converge 2023
Background: Approximately 5% of patients hospitalized at our institution develop clinically significant alcohol withdrawal syndrome (AWS). Inpatients who develop AWS may experience seizures, delirium, ICU transfer and prolonged length of stay. While the mortality of AWS, mostly related to delirium tremens, has decreased over time, severe alcohol withdrawal is still associated with a mortality of […]
Abstract Number: D10
SHM Converge 2022
Background: Alcohol withdrawal syndrome is a clinical syndrome with clinical manifestations of anxiety, insomnia, irritability, disorientation, hallucinations, seizures, and autonomic hyperactivity. Delirium tremens is the most severe manifestation of alcohol withdrawal. Although benzodiazepines are currently the first line for treatment of alcohol withdrawal, barbiturates are increasingly used for treatment as an alternative[1–3]. We need strong […]
Abstract Number: 1110
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 69-year-old woman presented for an elective multi-level lumbar laminotomy for the treatment of chronic back pain secondary to spinal canal stenosis. Her medical history included hypertension and hypercholesterolemia. She reported a history of depression, which was well controlled on paroxetine. She denied using drugs, stated she quit tobacco decades prior, and reported […]
Abstract Number: 1159
Hospital Medicine 2020, Virtual Competition
Case Presentation: 53-year-old man with history of alcohol abuse, cirrhosis (with preserved liver function) presented with complaints of bilateral hand tremors and hallucinations for one day. He was unable to provide history due to confusion. Computed tomography scan of the brain revealed microvascular ischemic changes and an old lacunar infarct. Patient was delirious and actively […]