Optimization of Intensive Care of Patients with Delirium Tremens
Objective: to improve intensive therapy for acute ethanol intoxications complicated by the development of delirium tremens. Subjects and methods. The data of examination and treatment were analyzed in 173 patients with acute severe ethanol intoxications complicated by the development of delirium tre...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
2015-10-01
|
| Series: | Общая реаниматология |
| Subjects: | |
| Online Access: | https://www.reanimatology.com/rmt/article/view/1484 |
| _version_ | 1797874276581244928 |
|---|---|
| author | G. A. Livanov A. N. Lodyagin B. V. Batotsyrenov A. T. Loladze D. V. Baranov I. V. Nezhentseva |
| author_facet | G. A. Livanov A. N. Lodyagin B. V. Batotsyrenov A. T. Loladze D. V. Baranov I. V. Nezhentseva |
| author_sort | G. A. Livanov |
| collection | DOAJ |
| description | Objective: to improve intensive therapy for acute ethanol intoxications complicated by the development of delirium tremens. Subjects and methods. The data of examination and treatment were analyzed in 173 patients with acute severe ethanol intoxications complicated by the development of delirium tremens, out of them 105 patients received Cytoflavin incorporated into a treatment regimen and 68 patients were treated according to convention al procedures. In addition to physical examination, the clinical course of the disease, blood gas composition and water electrolyte balance parameters, and circulating blood volume were estimated by a dye hematocrit method. Results. Correction of somatic dysfunctions and metabolic disorders with Cytoflavin along with medical sleep was found to lead to rapid arrest of the signs of the psychosis, to prevent brain edema, to have a positive impact on the further status of patients, to considerably reduce the period of asthenization and to ameliorate its manifestations. Conclusion. The findings may serve as a basis for the wide use of Cytoflavin in a treatment regimen in narco logical practice since it leads to normalization of metabolic processes and hence to a more rapid recovery. |
| first_indexed | 2024-04-10T01:28:18Z |
| format | Article |
| id | doaj.art-76bf9fb414c14895baf979c6c920f77c |
| institution | Directory Open Access Journal |
| issn | 1813-9779 2411-7110 |
| language | English |
| last_indexed | 2024-04-10T01:28:18Z |
| publishDate | 2015-10-01 |
| publisher | Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia |
| record_format | Article |
| series | Общая реаниматология |
| spelling | doaj.art-76bf9fb414c14895baf979c6c920f77c2023-03-13T09:32:53ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102015-10-01115253310.15360/1813-9779-2015-5-25-331468Optimization of Intensive Care of Patients with Delirium TremensG. A. Livanov0A. N. Lodyagin1B. V. Batotsyrenov2A. T. Loladze3D. V. Baranov4I. V. Nezhentseva5Научно исследовательский институт скорой помощи им. И.И. Джанелидзе Россия, 192242, Санкт Петербург, ул. Будапештская, д. 3Научно исследовательский институт скорой помощи им. И.И. Джанелидзе Россия, 192242, Санкт Петербург, ул. Будапештская, д. 3Научно исследовательский институт скорой помощи им. И.И. Джанелидзе Россия, 192242, Санкт Петербург, ул. Будапештская, д. 3Научно исследовательский институт скорой помощи им. И.И. Джанелидзе Россия, 192242, Санкт Петербург, ул. Будапештская, д. 3I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care 3, Budapeshtskaya St., Saint Petersburg 192242, RussiaНаучно исследовательский институт скорой помощи им. И.И. Джанелидзе Россия, 192242, Санкт Петербург, ул. Будапештская, д. 3Objective: to improve intensive therapy for acute ethanol intoxications complicated by the development of delirium tremens. Subjects and methods. The data of examination and treatment were analyzed in 173 patients with acute severe ethanol intoxications complicated by the development of delirium tremens, out of them 105 patients received Cytoflavin incorporated into a treatment regimen and 68 patients were treated according to convention al procedures. In addition to physical examination, the clinical course of the disease, blood gas composition and water electrolyte balance parameters, and circulating blood volume were estimated by a dye hematocrit method. Results. Correction of somatic dysfunctions and metabolic disorders with Cytoflavin along with medical sleep was found to lead to rapid arrest of the signs of the psychosis, to prevent brain edema, to have a positive impact on the further status of patients, to considerably reduce the period of asthenization and to ameliorate its manifestations. Conclusion. The findings may serve as a basis for the wide use of Cytoflavin in a treatment regimen in narco logical practice since it leads to normalization of metabolic processes and hence to a more rapid recovery.https://www.reanimatology.com/rmt/article/view/1484острые отравленияэтанолалкогольный делирийцитофлавинотек набухание головного мозга |
| spellingShingle | G. A. Livanov A. N. Lodyagin B. V. Batotsyrenov A. T. Loladze D. V. Baranov I. V. Nezhentseva Optimization of Intensive Care of Patients with Delirium Tremens Общая реаниматология острые отравления этанол алкогольный делирий цитофлавин отек набухание головного мозга |
| title | Optimization of Intensive Care of Patients with Delirium Tremens |
| title_full | Optimization of Intensive Care of Patients with Delirium Tremens |
| title_fullStr | Optimization of Intensive Care of Patients with Delirium Tremens |
| title_full_unstemmed | Optimization of Intensive Care of Patients with Delirium Tremens |
| title_short | Optimization of Intensive Care of Patients with Delirium Tremens |
| title_sort | optimization of intensive care of patients with delirium tremens |
| topic | острые отравления этанол алкогольный делирий цитофлавин отек набухание головного мозга |
| url | https://www.reanimatology.com/rmt/article/view/1484 |
| work_keys_str_mv | AT galivanov optimizationofintensivecareofpatientswithdeliriumtremens AT anlodyagin optimizationofintensivecareofpatientswithdeliriumtremens AT bvbatotsyrenov optimizationofintensivecareofpatientswithdeliriumtremens AT atloladze optimizationofintensivecareofpatientswithdeliriumtremens AT dvbaranov optimizationofintensivecareofpatientswithdeliriumtremens AT ivnezhentseva optimizationofintensivecareofpatientswithdeliriumtremens |