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Intraoperative Alcohol Withdrawal Syndrome : A Coincidence or Precipitation?
Joint Authors
Subedi, Asish
Bhattarai, Balkrishna
Source
Case Reports in Anesthesiology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-07-10
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
As the prevalence of alcohol dependence is approximately half in surgical patients with an alcohol use disorder, anesthetist often encounters such patients in the perioperative settings.
Alcohol withdrawal syndrome (AWS) is one of the most feared complications of alcohol dependence and can be fatal if not managed actively.
A 61-year-old man, alcoholic with 50 h of abstinence before surgery, received spinal anesthesia for surgery for femoral neck fracture.
To facilitate positioning for spinal anesthesia, fascia iliaca compartmental block with 0.25% bupivacaine (30 mL) was administered 30 min prior to spinal block.
Later, in the intraoperative period the patient developed AWS; however, the features were similar to that of local anesthetic toxicity.
The case was successfully managed with intravenous midazolam, esmolol, and propofol infusion.
Due to similarity of clinical features of AWS and mild local anesthetic toxicity, an anesthetist should be in a position to differentiate the condition promptly and manage it aggressively.
American Psychological Association (APA)
Subedi, Asish& Bhattarai, Balkrishna. 2013. Intraoperative Alcohol Withdrawal Syndrome : A Coincidence or Precipitation?. Case Reports in Anesthesiology،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-496708
Modern Language Association (MLA)
Subedi, Asish& Bhattarai, Balkrishna. Intraoperative Alcohol Withdrawal Syndrome : A Coincidence or Precipitation?. Case Reports in Anesthesiology No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-496708
American Medical Association (AMA)
Subedi, Asish& Bhattarai, Balkrishna. Intraoperative Alcohol Withdrawal Syndrome : A Coincidence or Precipitation?. Case Reports in Anesthesiology. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-496708
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-496708