Alcoholic delirium: early diagnosis and principles of intensive care. Literature review.

Alcoholic delirium: early diagnosis and principles of intensive care. Literature review.

For correspondence: Alexey Muronov – Cand. honey. Sciences, Associate Professor of the Department of Anesthesiology, Reanimatology and Transfusiology FPK and PPS FSBEI HE „Kuban State Medical University” of the Ministry of Health of the Russian Federation, Krasnodar; e-mail: aemuronov@mail.ru.

For citation: Muronov A.E. Alcoholic delirium: early diagnosis and principles of intensive care. Literature review. Intensive care bulletin A.I. Saltanov.

2020; 1: 53–65. DOI: 10.21320 / 1818-474X-2020-1-53-65.

Abstract.

Alcoholic delirium is a formidable complication of severe alcohol withdrawal syndrome. It is often formed in patients of hospitals and departments of anesthesiology and intensive care as a result of the forced cessation of alcohol consumption. Its formation is associated with an increase in the length of hospital stay and mortality.

The review examines modern approaches to the diagnosis, especially early, of this condition, its intensive therapy and methods of non-drug correction.

Key words: alcohol withdrawal syndrome, alcoholic delirium, intensive care, benzodiazepines, propofol, phenobarbital, haloperidol, dexmedetomidine.

Received: 01.24.

Accepted for publication: 03/02/2020.

Introduction.

Research methods.

A literature search was carried out in PubMed for the keywords: alcohol withdrawal syndrome, delirium https://de.life-hacks.fun/page-warum-bin-ich-so-emotional-9-versteckte-grunde tremens – from 1945 to 2019. Of the 2117 sources found, 151 were selected for the literature review, published mainly over the past 20 years. The review included those articles that considered the methods of diagnosis, intensive therapy of severe alcohol dependence and delirium tremens, as well as the prevention of their development in AAS.

Diagnostic criteria for alcoholic delirium.

Alcoholic delirium, or delirium tremens (currently these terms are used synonymously), is a severe form of alcohol withdrawal syndrome [18]. The latter is characterized by the appearance of tremor, the gradual development and aggravation of the condition without adequate therapy to convulsions and delirium tremens [7, 21]. When diagnosing, it should be borne in mind that delirium is formed against the background of severe alcohol withdrawal (Table 1). In the verification of the latter, the presence of two conditions plays a decisive role:

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