This article, based upon a case report, proposes a brief survey of the anaesthetic problems encountered in patients acutely intoxicated by ethyl alcohol. During the entire period of an eventual surgical involvement, prolonged intensive care is necessary to prevent complications as the Mendelson's syndrome, respiratory depression and delirium tremens. A practical approach is proposed for the anaesthetic management of such patients.
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References
1.
BarrosS.RodriguezG. (1981) Naloxone as an antagonist in alcohol intoxication. Anaesthesiology54, 174 (Letter).
2.
BatteyL.HeymanA.PattersonJ. L. (1963) Effects of alcohol on cerebral blood flow, and metabolism. JAMA.152, 6–10.
3.
BruceD. L. (1983) Alcoholism and Anaesthesia. Anaesth. Analg.62, 84–96.
4.
CarsonD. J. L. (1969). Pathologic Findings Following Alcohol. Anaesth. Analg.48, 670–5.
5.
CohenS. E. (1983) La prévention du syndrome de Mendelson. Cahiers d'Aneslhésiologie.31, 43–4.
6.
DindaP. K.BeckI. T. (1977) On the mechanism of the inhibitory effect of ethanol on intestinal glucose and water absorption. Digest. Dis.22, 529–33.
7.
DundeeJ. W.IsaacM.ClarkeR. S. J. (1969) Use of alcohol in anaesthesia. Anaesth. Analg.48, 665–9.
8.
de FigueiredoR. (1983) Action du tiapride dans les manifestations aiguës du sevrage alcoolique. La Semaine des Hôpitaux de Paris.59 (36), 2551–4.
HaagH. B.SilvermanT.KayeS. (1951) Relationship between blood alcohol levels and acute respiratory failure. J. Pharmacol. Exp.103, 344–5.
11.
HughesJ. H.SchernitzkiP.ByersJ.LikesK. (1980) Trauma in patients influenced by drugs and alcohol. Ann. Emerg. Med.9, 7–11.
12.
KeiltyS. R. (1969) Anaesthesia for the Alcoholic Patient. Anaesth. Analg.48, 659–63.
13.
KissI.AbelM.GeorgeG. (1982) Über die Anwendung von Physostigmin in der Anaesthesie und Intensivmedizin. Anasth. Intensivthem. Notfall-med.17 (3), 155–7.
14.
LeeJ. F.GieseckeA. H.JenkinsM. T. (1967) Anaesthetic managment of trauma: influence of alcohol ingestion. South Med. J.60, 1240–3.
15.
LyonL. J.AnthonyJ. (1982). Reversal of alcoholic coma by naloxone. Ann. of Inter. Med.96, 464.
16.
MeignanL. (1983) Prevention et traitement du delirium tremens chez le malade chirurgical. Cahiers d'Aneslhésiologie.31, 277–82.
17.
NettlesJ. L.OlsonR. N. (1965) Effects of alcohol on hypoxia. JAMA.194, 1193–4.
18.
O'DanielL. (1980) Anaesthetic managment of the alcoholic patient. J. Am. Ass. Nurse Anaesthetists.48, 445–51.
19.
RubiniM. E.KleemanCh.R.LadminE. (1955) Studies on alcohol diuresis. I. The effect of ethyl alcohol ingestion on water, electrolyte and acid-base metabolism. J. Clin. Investig.34, 439–47.
20.
TaasanV. C.BlockA. J.BoysenPh.G.WynneJ. W. (1981). Alcohol increases sleep apnea and oxygen desaturation in asymptomatic men. Am. J. Med.71, 240–5.
21.
UphamW. (1978) Delirium tremens in a patient under anaesthesia. J. Am. Assoc. Nurse Anaesthetists.46, 408–10.
22.
VirenqueCh. (1983) Antidotes et traitement spécifique dans les intoxications aiguës. Cahiers d'Anesthésiologie, 31, 371–6.
23.
WatsonT. D.LeeJ. F. (1976) Intoxication and trauma. Clin. Anesth.11 (2), 31–8.
