Alcohol use disorder: risks in anesthesia and intensive care medicine

Der Internist
M SanderC Spies

Abstract

Approximately 20% of medical and surgical patients in hospital have an alcohol use disorder (AUD). Diagnosis of chronic alcohol abuse is performed by specific medical history, examination and validated tests. Biomarkers are a means of diagnosing chronic alcoholism in sedated, intubated and emergency patients. Chronic alcohol consumption damages the central nervous and cardiovascular system, the liver and the immune system. In medical ICUs more than 50% of liver injuries and chronic pancreatitis are due to chronic alcohol abuse. The alcohol withdrawal syndrome is emerging in 25% of AUD patients in intensive care after reduction of sedative drugs. Long term alcohol abuse also leads to cardiac arrhythmias, dilatative cardiomyopathy and hypotonic circulatory dysregulation. Bleeding complications are two-fold increased during and after surgery. Immune suppression results in an increased incidence of infectious complications like pneumonia, wound infection and urinary tract infection. In particular, septic encephalopathy is often misinterpreted as alcohol withdrawal syndrome. Due to the fact that AUD patients show a two to five-fold higher rate of postoperative complications they require increased attention to avoid latency of treatm...Continue Reading

References

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Sep 15, 2005·Neurocritical Care·Hilke OtterClaudia Spies

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Citations

Jul 10, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Daniel Mønsted Shabanzadeh, Lars Tue Sørensen
Aug 6, 2015·Surgical Infections·Daniel Mønsted Shabanzadeh, Lars Tue Sørensen
Jun 11, 2008·Alcoholism, Clinical and Experimental Research·Miriam Julia KipFriedrich Martin Wurst
Apr 5, 2013·Alcoholism, Clinical and Experimental Research·Lavinius A UngurClaudia Spies

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