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...

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Main Authors: G. A. Livanov, A. N. Lodyagin, B. V. Batotsyrenov, A. T. Loladze, D. V. Baranov, I. V. Nezhentseva
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2015-10-01
Series:Общая реаниматология
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Online Access:https://www.reanimatology.com/rmt/article/view/1484
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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.
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institution Kabale University
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publishDate 2015-10-01
publisher Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
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spelling doaj-art-76bf9fb414c14895baf979c6c920f77c2025-08-20T03:35:07ZengFederal 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. Nezhentseva5I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care 3, Budapeshtskaya St., Saint Petersburg 192242, RussiaI.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care 3, Budapeshtskaya St., Saint Petersburg 192242, RussiaI.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care 3, Budapeshtskaya St., Saint Petersburg 192242, RussiaI.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care 3, Budapeshtskaya St., Saint Petersburg 192242, RussiaI.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care 3, Budapeshtskaya St., Saint Petersburg 192242, RussiaI.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Care 3, Budapeshtskaya St., Saint Petersburg 192242, RussiaObjective: 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/1484acute intoxicationsethanoldelirium tremenscytoflavinbrain edema/swelling
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
acute intoxications
ethanol
delirium tremens
cytoflavin
brain edema/swelling
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 acute intoxications
ethanol
delirium tremens
cytoflavin
brain edema/swelling
url https://www.reanimatology.com/rmt/article/view/1484
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AT bvbatotsyrenov optimizationofintensivecareofpatientswithdeliriumtremens
AT atloladze optimizationofintensivecareofpatientswithdeliriumtremens
AT dvbaranov optimizationofintensivecareofpatientswithdeliriumtremens
AT ivnezhentseva optimizationofintensivecareofpatientswithdeliriumtremens