Updated phenobarbital alcohol withdrawal protocol


See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol


The protocol was consequently modified as shown below, with greater attention to the cumulative phenobarbital dosing.  After the patient has received a relatively large cumulative dose of phenobarbital (30 mg/kg), additional phenobarbital is generally curtailed.  At this point it is assumed that the patient has received sufficient treatment for alcohol withdrawal.  Any residual delirium beyond this point is unlikely to be related to alcohol withdrawal, so it may be more appropriately treated with an antipsychotic. 


#Management #Alcohol #EtOH #Withdrawal #Phenobarbital #Monotherapy #Algorithm #Protocol #PulmCrit