在印度重症监护室诊断和管理酒精戒断综合征的实践模式
Justin Aryabhat Gopaldas1, Mahesha Padyana1, Poonam P Rai1
1Multidisciplinary Intensive Care Unit, Manipal Hospital, Jayanagar, Bengaluru, India.
概括
印度ICU的酒精使用障碍 (AUD) 和酒精戒断综合征 (AWS) 管理显示出显著的变化. 关键的障碍包括对保险拒绝的恐惧和知识差距,导致患者护理不足最佳水平.
科学领域:
- 临界护理医学 临界护理医学
- 成 药物 药物 药物 药物
- 医疗保健服务研究 医疗服务研究
背景情况:
- 酒精使用障碍 (AUD) 在重症监护室 (ICU) 很常见,酒精戒断综合征 (AWS) 影响高达10%的患者.
- 现有的文献强调了AWS管理策略的广泛差异,表明需要探索知识差距和障碍.
研究的目的:
- 评估在印度重症监护机构内识别和管理AUD和AWS的实践模式.
- 确定印度ICU中AUD充分诊断和记录的障碍.
主要方法:
- 在印度各地多学科ICU的独立从业者,主要是麻醉科医生中进行了一项调查.
- 该调查评估了AUD估计的患病率,记录实践,使用风险评估工具,诊断意识 (ICD 10/DSM-V) 和AWS的药理管理.
主要成果:
- 医疗从业者估计AUD患病率低于10%,担心保险拒绝被认为是缺乏文件的主要原因.
- 对AWS诊断标准的认识很低,风险评估工具很少使用.
- 对AWS的管理显示了药物选择 (例如,过度的哈洛佩里多尔,罕见的巴比图拉酸盐) 和胺剂量的显著变化,对其对死亡率和发病率的影响的了解很差.
结论:
- 印度ICU报告AUD流行率低于国际数据,受保险相关文档障碍的影响.
- 由于存在显著的知识差距,AWS风险评估,监测和管理是不理想的和高度可变的.
- 进一步的研究对于解决这些差距和改善在重症监护机构对AUD和AWS患者的护理至关重要.
关键词:
酒精使用障碍 酒精使用障碍酒精戒断综合征是什么这种药物是Benzodiazepines.疯狂的狂妄症是惊人的肺炎是一种肺炎.预测酒精戒断的严重程度尺度提氨酸在酒精戒断综合征中的作用尿路感染 尿路感染维尼克的脑病是维尼克的脑病.更多相关视频
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