Respiratory failure & ventilation

Respiratory Failure Requiring Mechanical Ventilation Among Patients Receiving Chlordiazepoxide for Alcohol Withdrawal Symptoms

Acta Anaesthesiol ScandPublished Retrospective quality-improvement study

Authors' conclusion

Typical presentation of ICU admission was respiratory insufficiency and somnolence after symptom-triggered treatment with chlordiazepoxide for alcohol withdrawal symptoms. Mechanical ventilation was used in more than two-thirds of the admitted patients, and the risk of readmission and fatal outcome was high.

Study context

Population
Intensive Care Unit (ICU) admissions to a Danish general ICU after ≥200 mg chlordiazepoxide (symptom-triggered) for alcohol withdrawal symptoms within 10 days before ICU admission
Participants
113 participants · 133 admissions
Exposure
"Too sedated" vs "Too agitated"
Outcome
Need for mechanical ventilation
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Invasive or non-invasive mechanical ventilation
All ICU admissions
71%

Observational data: associations, not effects.

Secondary outcomes

OutcomeToo sedatedToo agitated
Mortality · 90 days21%0 events

Reasons for ICU admission

Respiratory insufficiency
39%
Somnolence
39%

Readmission · 90 days

Hospital readmission
36%
ICU readmission
14%

Original publication

Respiratory Failure Requiring Mechanical Ventilation Among Patients Receiving Chlordiazepoxide for Alcohol Withdrawal Symptoms. Acta Anaesthesiol Scand. Published 19 May 2025. doi:10.1111/aas.70046

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