Alcohol Withdrawal Syndrome
Conditions
Brief summary
The overarching goal of this project is to improve the clinical quality of patients with Benzodiazepine-resistant alcohol withdrawal syndrome.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
either 1. a requirement of either 200 mg of diazepam (or diazepam equivalents) in 4 hrs; 2. \> 40mg of diazepam (or diazepam equivalents) in 1 hr; or 3. an individual dose of 40 mg or greater of intravenous diazepam for control of agitation
Exclusion criteria
* if \< 18 years of age or had evidence of use of other illicit substances as determined by urine toxicology screen
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Identify those risk factors predictive of benzodiazepine-resistant alcohol withdrawal syndrome | up to 38 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Drug utilization of phenobarbital, propofol, dexmedetomidine, and ketamine in benzodiazepine-resistant alcohol withdrawal syndrome | Up to 38 months | Will compare the frequency, duration and dosages of the above agents when used for benzodiazepine-resistant alcohol withdrawal |
| Effectiveness of phenobarbital, propofol, dexmedetomidine, and ketamine in benzodiazepine-resistant alcohol withdrawal | Up to 38 months | Comparative markers will include: 1. Presence or absence of the following: delirium tremens, hallucinosis, seizures, or arrhythmias 2. Indication and duration of mechanical intubation 3. Nosocomial infection rates 4. ICU length of stay |
| Tolerability of phenobarbital, propofol, dexmedetomidine, and ketamine in benzodiazepine-resistant alcohol withdrawal | Up to 38 months | Comparative markers will include: 1. Rikers Sedation Scale Assessments 2. Hypotension 3. Hypertriglyceridemia/Pancreatitis 4. Drug induced hallucinosis or seizures |
Countries
United States