Improved outcomes in patients with head and neck cancer using a standardized care protocol for postoperative alcohol withdrawal

Archives of Otolaryngology--head & Neck Surgery
Christopher D LansfordTheodoros N Teknos

Abstract

To show clinical benefit in the main outcome measures by the use of a standardized protocol for identification, characterization, and treatment of alcohol withdrawal syndrome (AWS) in postoperative patients with head and neck cancer. Prospective cohort study with a retrospective cohort control. Tertiary care university. A total of 26 consecutive postoperative patients with AWS were selected from among 652 patients with head and neck cancer to be enrolled in the protocol from March 2003 through March 2005. Controls consisted of 14 of 981 consecutive patients with AWS from March 2000 through December 2002. Application of a standardized care protocol. Sensitivity and specificity of preoperative screening for AWS risk, predictability of outcomes, length of stay, transfers to the intensive care unit (ICU), AWS symptoms, postoperative morbidity and mortality, doses of pharmacotherapy required, and charges. Protocol patients demonstrated significantly fewer AWS-related ICU transfers and less delirium and violence than preprotocol patients. Mortality, wound complications, hospital charges, and doses of benzodiazepines, clonidine, and haloperidol were not significantly different between these 2 groups. Preoperative medical history corre...Continue Reading

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
Sep 23, 2014·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Timothy E AlbertsonMark E Sutter
Jun 16, 2012·Indian Journal of Anaesthesia·Anand T TalikotiKs Kishore Kumar
Nov 28, 2012·Intensive Care Medicine·Don-Kelena AwissiYoanna Skrobik
Nov 23, 2010·Lancet Neurology·Mustafa Khasraw, Jerome B Posner
Sep 28, 2010·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Flora A Corfee
Sep 6, 2013·Critical Care Medicine·Don-Kelena AwissiUNKNOWN Regroupement de Soins Critiques, Réseau de Soins Respiratoires, Québec
Apr 5, 2013·Alcoholism, Clinical and Experimental Research·Lavinius A UngurClaudia Spies
Mar 1, 2011·Alcoholism, Clinical and Experimental Research·Joaquin CamposArturo Gonzalez-Quintela
May 23, 2015·The Journal of Laryngology and Otology·M Bannister, K W Ah-See
May 20, 2016·Pharmacotherapy·Deepali DixitMarilyn N Bulloch
Aug 28, 2016·Drug and Alcohol Dependence·Doungkamol AlongkronrusmeeRichard M van Rijn
May 3, 2011·The Journal of Surgical Research·Nicholas CooroughHerbert Chen
Apr 22, 2019·Archives of Plastic Surgery·Clara SchafferPietro Giovanni di Summa
Feb 15, 2020·The Laryngoscope·John D GettelfingerCecelia E Schmalbach
Aug 11, 2020·Minerva chirurgica·Melissa LausAdelchi Croce
Aug 10, 2020·Journal of Addiction Medicine·Anne C FernandezFrederic C Blow

❮ Previous
Next ❯

Related Concepts

Related Feeds

Alagille Syndrome

Alagille syndrome is a multi-system genetic disorder that can affect the liver, heart, and other parts of the body. It’s characterization includes heart problems, liver damage, jaundice, and xanthomas. Here is the latest research.

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.

Antipsychotic Drugs

Antipsychotic drugs are a class of medication primarily used to manage psychosis (including delusions, hallucinations, paranoia or disordered thought), principally in schizophrenia and bipolar disorder. Discover the latest research on antipsychotic drugs here