Latest Updates

Alcohol and Drug Withdrawal Syndromes and Their Clinical Management

Alexander Thompson, MD, MBA, MPH, Andrea Weber, MD, MME
    • Many published protocols for safely managing severe alcohol withdrawal (specifically delirium tremens) in the intensive care setting
    • Increased outpatient treatment options for opioid withdrawal
    • Increased focus on cannabis withdrawal syndrome (now included in the DSM-5), which will increase withdrawal and abstinence treatment research
    • Updated with 2020 ASAM Practice Guidelines: Opioid Use Disorder

Alcohol and Drug Withdrawal Syndromes and Their Clinical Management

Alexander Thompson, MD, MBA, MPH, Andrea Weber, MD, MME
    • Many published protocols for safely managing severe alcohol withdrawal (specifically delirium tremens) in the intensive care setting
    • Increased outpatient treatment options for opioid withdrawal
    • Increased focus on cannabis withdrawal syndrome (now included in the DSM-5), which will increase withdrawal and abstinence treatment research
    • Updated with 2020 ASAM Practice Guidelines: Opioid Use Disorder

Alcohol and Drug Withdrawal Syndromes and Their Clinical Management

Alexander Thompson, MD, MBA, MPH, Andrea Weber, MD, MME
    • Many published protocols for safely managing severe alcohol withdrawal (specifically delirium tremens) in the intensive care setting
    • Increased outpatient treatment options for opioid withdrawal
    • Increased focus on cannabis withdrawal syndrome (now included in the DSM-5), which will increase withdrawal and abstinence treatment research
    • Updated with 2020 ASAM Practice Guidelines: Opioid Use Disorder

Alcohol and Drug Withdrawal Syndromes and Their Clinical Management

Alexander Thompson, MD, MBA, MPH, Andrea Weber, MD, MME
    • Many published protocols for safely managing severe alcohol withdrawal (specifically delirium tremens) in the intensive care setting
    • Increased outpatient treatment options for opioid withdrawal
    • Increased focus on cannabis withdrawal syndrome (now included in the DSM-5), which will increase withdrawal and abstinence treatment research
    • Updated with 2020 ASAM Practice Guidelines: Opioid Use Disorder

Alcoholic Liver Disease

György Baffy, MD, PhD, Tibor Krisko, MD, Alexander S. Vogel, MD
    • The AUDIT-C questionnaire is a fast and reliable tool to screen patients for alcohol use disorder (AUD)
    • In patients with AUD and liver disease, disulfiram or baclofen should be considered for preventing AUD relapse
    • In patients with severe alcohol-associated hepatitis (AAH) identified by the Maddrey’s discriminant function (≥ 32), a trial of prednisolone is a reasonable therapeutic strategy
    • Carefully selected cases of severe AAH identified by the Lille score as non-responders to pharmacotherapy (≥ 0.45) should be considered for early liver transplantation
    • New post-liver transplant scores may predict harmful (HALT) and sustained (SALT) relapse of AUD and help patient selection for transplantation

Alcoholic Liver Disease

György Baffy, MD, PhD, Tibor Krisko, MD, Alexander S. Vogel, MD
    • The AUDIT-C questionnaire is a fast and reliable tool to screen patients for alcohol use disorder (AUD)
    • In patients with AUD and liver disease, disulfiram or baclofen should be considered for preventing AUD relapse
    • In patients with severe alcohol-associated hepatitis (AAH) identified by the Maddrey’s discriminant function (≥ 32), a trial of prednisolone is a reasonable therapeutic strategy
    • Carefully selected cases of severe AAH identified by the Lille score as non-responders to pharmacotherapy (≥ 0.45) should be considered for early liver transplantation
    • New post-liver transplant scores may predict harmful (HALT) and sustained (SALT) relapse of AUD and help patient selection for transplantation

Dizziness

Robert W. Baloh, MD, Kevin A. Kerber, MD, MS
    • 2017 Japan Society for Equilibrium Research guideline on classification, diagnostic criteria, and management of benign paroxysmal positional vertigo
    • Latest American Physical Therapy Association guideline on vestibular rehabilitation for peripheral vestibular hypofunction
    • 2017 American Physical Therapy Association practice guidelines on dizziness
    • 2017 American Academy of Otolaryngology-Head and Neck Surgery Practice Guideline included

Dizziness

Robert W. Baloh, MD, Kevin A. Kerber, MD, MS
    • 2017 Japan Society for Equilibrium Research guideline on classification, diagnostic criteria, and management of benign paroxysmal positional vertigo
    • Latest American Physical Therapy Association guideline on vestibular rehabilitation for peripheral vestibular hypofunction
    • 2017 American Physical Therapy Association practice guidelines on dizziness
    • 2017 American Academy of Otolaryngology-Head and Neck Surgery Practice Guideline included
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