CIWA PROTOCOL PDF

Protocols. •. CIWA-AR Lorazepam Dosing. Order Sets. •. OSU IP GEN: Alcohol Withdrawal-. Low/Moderate Risk (Utilizing CIWA) []. •. OSU IP GEN: Alcohol . instrument, such as the Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar), a measure of withdrawal severity, or some equivalent. Alcohol Withdrawal Protocol. Give Thiamine mg IV initially and qd (po, IM/IV), Folate 1mg qd, MVI qd. Assess current state of withdrawal with CIWA-Ar.

Treatment of Alcohol Withdrawal Syndrome: Phenobarbital vs CIWA-Ar Protocol

Background Benzodiazepine-based therapy for alcohol withdrawal is associated with agitation and respiratory depression. Treatment can be complicated by a need prorocol adjunctive therapy to control these symptoms and in patients requiring mechanical ventilation.

Strong evidence for the effectiveness of alternative treatment modalities is lacking, despite the availability of promising pharmacological agents such as phenobarbital. Objective To compare the standard of care for the treatment of alcohol withdrawal—a symptom-triggered benzodiazepine protocol used in conjunction with the revised Clinical Institute Withdrawal Assessment of Alcohol CIWA-Ar scale—with a phenobarbital protocol.

Methods Retrospective cohort study conducted from January through June at a bed medical intensive care unit in a private teaching hospital in Nashville, Tennessee.

The primary outcome was intensive care unit length of stay. Secondary outcomes included hospital length of stay, incidence of invasive mechanical ventilation, and use of adjunctive pharmacotherapy. Results Patients who received phenobarbital had significantly shorter stays in the intensive care unit than did those who received therapy based on the CIWA-Ar scale mean [SD], 2.

Those who received phenobarbital also had significantly shorter hospital stays 4. Conclusion A phenobarbital protocol for the treatment of alcohol withdrawal is an effective alternative to the standard-of-care protocol of symptom-triggered benzodiazepine therapy.

User Name Password Sign In. Treatment of Alcohol Withdrawal Syndrome: ThomasPharmDJonathon D.

Treatment of Alcohol Withdrawal Syndrome: Phenobarbital vs CIWA-Ar Protocol

CanonicoMD and Angus J. WebberMD William P.

Abstract Background Benzodiazepine-based therapy for alcohol withdrawal is associated with agitation and respiratory depression. Related Article Protodol Pearls: Google Scholar Articles by Tidwell, W.

Articles by Webber, A. Related Content Related Article. Current Edition November27 6.