Alcohol abuse in the critically ill patient.
Alcohol abuse and dependence disorders are common in the 10% of hospitalised patients who need admission to the intensive care unit (ICU), but these disorders are often undiagnosed. The systemic effects from the excessive use of alcohol increase susceptibility to, or directly cause various important disorders in the critically ill. Early recognition of alcohol abuse and dependence is necessary and should prompt consideration of several alcohol-specific diagnoses that have important prognostic and therapeutic implications for these patients. We discuss the use of screening tests to improve the identification of alcohol abuse and dependence disorders, the epidemiology and pathogenesis of important alcohol-related disorders, differences in the presentation of several common alcohol-related diagnoses in the ICU, and important alcohol-specific therapies.
Moss
Marc
M
Divison of Pulmonary Sciences and Critical Care Medicine, University of Colorado at Denver and Health Sciences Center, Denver, CO 80262, USA. Marc.Moss@uchsc.edu
Burnham
Ellen Lyda
EL
D000328:Adult; D000368:Aged; D020268:Alcohol-Induced Disorders, Nervous System / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology; D000437:Alcoholism / Q000097:blood / Q000150:complications / Q000503:physiopathology; D016638:Critical Illness; D005260:Female; D006760:Hospitalization; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000150:complications / Q000503:physiopathology; D014947:Wounds and Injuries / Q000150:complications / Q000401:mortality
D006993:Hypnotics and Sedatives