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Treatment of Alcoholic Intoxication and the Withdrawal Syndrome

A Critical Analysis of the Use of Drugs and Other Forms of Therapy

Bibliographic Data

ID19304807
AuthorsMAURICE VICTOR (corresponding author)
Year1966
Volume28
Issue4
Pages636-650
Publication date1966-07-01
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00006842-196607000-00039
OpenAlexW2575816815
LanguageEN
References cited6

In this article current concepts of treatment of alcoholic intoxication and withdrawal are critically evaluated. In general, writings on this subject have two main shortcomings: (1.) a failure to define what is being treated--several different clinical disorders being treated as a single disease; and (2.) a lack of awareness of the natural history of the alcoholic diseases and the marked variability in the severity and duration of symptoms. For these reasons, the alcoholic disorders are classified and defined according to their mechanisms, insofar as these are known. Deep coma due to alcoholic intoxication represents a medical emergency, the main danger being death from respiratory depression. In regard to the withdrawal syndrome, it is important to distinguish clearly between the mild forms of this disorder (tremor and hallucinosis) and delirium tremens, which may be lethal. A wide variety of drugs are useful in controlling the milder forms but practically none are effective in preventing delirium tremens or altering the duration and mortality rate of this disorder. In the management of delirium tremens the primary aims are to replace fluids and electrolytes and to anticipate and treat shock and hyperthermia, should these supervene

Alcohol · Alcohol withdrawal syndrome · Anesthesia · Coma (optics) · Delirium · Delirium tremens · Intensive care medicine · Psychiatry · Shock (circulatory) · Alcoholism and Thiamine Deficiency · Drug-Induced Hepatotoxicity and Protection · Internal Medicine · Medicine · Poisoning and overdose treatments · Psychology

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Highly citedNo

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