Alcohol withdrawal requiring massive prolonged benzodiazepine infusion

Military Medicine

Volumn 172, Issue 5, 2007, Pages 556-559

  Hayes, Patrick C ^a   Faestel, Paul M ^a   Shimamoto, Paige L ^a   Holland, J Craig ^a  

^a TRIPLER ARMY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

4 AMINOBUTYRIC ACID; ALBUMIN; ASPARTATE AMINOTRANSFERASE; BENZODIAZEPINE; DIAZEPAM; FOLIC ACID; HALOPERIDOL; HEMOGLOBIN; LORAZEPAM; OXAZEPAM; PROPOFOL; QUINOLINE DERIVED ANTIINFECTIVE AGENT; THIAMINE;

ADULT; AGITATION; ALBUMIN BLOOD LEVEL; ALCOHOL ABUSE; ALCOHOL WITHDRAWAL; ANAMNESIS; ARTICLE; ASPARTATE AMINOTRANSFERASE BLOOD LEVEL; BLADDER CARCINOMA; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; CYSTECTOMY; DELIRIUM; DRUG ABUSE; DRUG MEGADOSE; ELECTROLYTE BALANCE; HEMOGLOBIN BLOOD LEVEL; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; INTENSIVE CARE UNIT; MALE; MENTAL DISEASE; MENTAL HEALTH; SINGLE DRUG DOSE; TOXICITY;

EID: 34248546096     PISSN: 00264075     EISSN: None     Source Type: Journal    
DOI: 10.7205/MILMED.172.5.556     Document Type: Article

References (14)

1. O'Connor PG, Schottenfeld RS: Patients with alcohol problems. N Engl J Med 1998; 338: 592-602.
2. Kosten TR, O'Connor PG: Management of drug and alcohol withdrawal. N Engl J Med 2003; 348: 18: 1786-95.
3. Lejoyeux M, Solomon J, Ades J: Benzodiazepine treatment for alcohol-dependent patients. Alcohol 1998; 33: 563-75.
4. Reoux JP, Miller K: Routine hospital alcohol detoxification practice compared to symptom triggered management with an objective withdrawal scale (CIWA-Ar). Am J Addict 2000; 9: 135-44.
5. Saitz R, et al: Individualized treatment for alcohol withdrawal: a randomized double-blind controlled trial. JAMA 1994; 272: 519-23.
6. Coomes TR, Smith SW: Successful use of propofol in refractory delirium Tremens. Ann Emerg Med 1997; 30: 6: 825-8.
7. Dill C: High-dose intravenous benzodiazepine. Acad Emerg Med 2000; 3: 308-10.
8. Lineaweaver WC, Anderson K, Hing DN: Massive doses of midazolam infusion for delirium tremens without respiratory depression. Crit Care Med 1988; 16: 294-5.
9. Nolop KB, Natow A: Unprecedented sedative requirements during delirium tremens. Crit Care Med 1985; 13: 246-7.
10. Wolf KM, et al: Prolonged delirium tremens requiring massive doses of medication. J Am Board Fam Pract 1993; 5: 502-4.
11. Woo E, Greenblatt DJ: Massive benzodiazepine requirements during acute alcohol withdrawal. Am Psychiatry 1979; 6: 821-3.
12. Devlin JW, Boleski G, Mlynarek M, et al: Motor Activity Assessment Scale: a valid and reliable sedation scale for use with mechanically ventilated patients in an adult surgical intensive care unit. Crit Care Med 1999; 27: 1271-5.
13. Clemmer TP, Wallace JC, Spuhler VJ, Bailey PP, Devlin JW: Origins of the Motor Activity Assessment Scale score: a multi-institutional process. Crit Care Med 2000; 28: 3124.
14. Sullivan JT, et al: Assessment of alcohol withdrawal: The Revised Clinical Institute Withdrawal Instrument for Alcohol Scale (CIWA-Ar). Br J Addict 1989; 84: 1353-7.