Inpatient Management of Alcohol Withdrawal

Inpatient Management of Alcohol Withdrawal

Mladen Nisavic, MD Psychiatry Consultation-Liaison Service

Burns/Trauma Psychiatry Service



Disclosures

"Neither I nor my spouse/partner has a relevant financial relationship with a commercial interest

to disclose."



Goals & Agenda

1 Review AUD, AWS 2 Benzodiazepines for AWS

3 Phenobarbital for AWS

4 MGH Phenobarbital Protocol



Alcohol, Alcohol Use Disorder, Alcohol Withdrawal Syndromes Demographics, Risk Factors, and Neurobiology



The Numbers

? 200 million ? Americans consume alcohol ? 8 million ? meet criteria for AUD ? 75 million ?world-wide prevalence of AUD ? 30-40% of hospitalized patients (medicine) ? 10% of ICU admissions ? 25-50% of trauma/surgical patients (all substances)

Stahre (2014), Magrudeh-Habuib (1991), Harwood (2000), Sacks (2015)



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