Treatment Of The Hospitalized Alcohol-Dependent Patient With Alcohol Withdrawal Syndrome

10.5580/c86 ◽  
2009 ◽  
Vol 8 (1) ◽  
1982 ◽  
Vol 140 (5) ◽  
pp. 523-525 ◽  
Author(s):  
Julius D. A. Makanjuola ◽  
Brian Faragher ◽  
David W. Rees

SummaryThe pattern and severity of alcohol withdrawal in 49 alcohol dependent subjects admitted to the Manchester Detoxification Centre are described. Assessment over 10 days involved the use of the Selected Severity Assessment Scale (SSA) and allocation of patients to subgroups of the alcohol withdrawal syndrome. There were associations between tremor, clouding of sensorium, hallucinations and convulsions (items of the SSA) and the four pre-delirious clinical sub-groups identified. We concluded that clinical assessment of the pre-delirious stage took into account these four variables and that there was little value in the routine use of the SSA on a unit such as ours.


1996 ◽  
Vol 20 (10) ◽  
pp. 599-601 ◽  
Author(s):  
Denise Duncan ◽  
David Taylor

The alcohol withdrawal syndrome is characterised by symptoms such as anxiety, insomnia, anorexia, nausea, tremor, sweating and disturbances in coordination. These symptoms tend to occur within 6 to 12 hours of alcohol-dependent patients stopping or reducing their alcohol intake. Less frequently, convulsions, hallucinosis and delirium tremens can occur. Delirium tremens (disturbed orientation, visual and auditory hallucinations, paranoid ideation and tremulousness) is the most serious complication of alcohol withdrawal and occurs in up to 5% of patients withdrawing from alcohol. If it is severe or poorly treated, death can occur. In the UK some clinicians use chlormethiazole while others favour chlordiazepoxide. This article will examine and compare the use of these two drugs.


1998 ◽  
Vol 3 (3) ◽  
pp. 281-294 ◽  
Author(s):  
CLAUDIA D. SPIES ◽  
PAWEL MORCINIEC ◽  
ERIKA LENZENHUBER ◽  
CHRISTIAN MÜLLER ◽  
CHRISTIAN MARKS ◽  
...  

1958 ◽  
Vol 19 (1) ◽  
pp. 118-124 ◽  
Author(s):  
Lincoln Godfrey ◽  
Martin D. Kissen ◽  
Thomas M. Downs

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