The authors managed with the help of this ...

The authors succeeded in using this technique for two years to exclude deaths from delirium tremens. There are other combinations sedatikov, hypnotics and neuroleptics. To maintain serchechnososudistoy kordiamin activity is widely used, if necessary, cardiac glycosides: 0,05% or 0,06% strophanthin Korglikon, which is injected slowly intravenously together with glucose. All patients were administered vitamins B1, C, B6, in conventional or high dosages. From other funds often assigned to carbamazepine, 0.2 mg 3 times a day. To make up for the loss of fluid injected polionnye solutions (up to 10,001,500 ml / day). Very efficient drip 400 ml gemodeza. The basic principle of therapy is the use of any drug or drug combination, depending on the performance of the previous appointment. For example, during hours of sleep made additional sedatives and hypnotics are not entered. If you sleep too short or the administration of drugs does not lead to the onset of sleep, re-use a combination of the previously prescribed medicines. Adverse symptoms are inability to arrest the delirium (remove the excitement and insomnia, delusions of perception) for a day of intensive therapy, as well as the resumption of delirious symptoms after many hours of sleep. In these cases, usually resort to methods, designed to relief tyazheloprotekayuschego delirium. Severe course of alcoholic delirium occurs in about 10% of all cases of delirium tremens. Usually preceded by many years of psychosis, or many months the continuous abuse of spirits. Withdrawal syndrome occurs very hard. Severe delirium tremens, as well as acute encephalopathy GayneVernike often begins with a series of seizures, repeated vomiting, accompanied by pain in the stomach, or a sharp rise in blood pressure. Most often initially appears typical of delirium, but during the first day the state of weights due to the deepening confusion, the appearance of gross neurological symptoms and signs of brain edema. To distinguish between complicated by delirium tremens (accession concomitant somatic diseases) and tyazheloprotekayuschy. Severe delirium tremens is an alcoholic psychosis, accompanied by profound confusion, caused by an abnormality of the brain. The main problem in relieving severe delirium tremens following: detoxification (removal of hypoxia, acidosis, hypovitaminosis); correction vodnoelektrolitnogo exchange and kislotnoosnovnogo state, prevention of cerebral edema and pulmonary edema of the brain control, elimination of hemodynamic and cardiovascular disorders, prevention of collapse, the elimination of excitation and insomnia . In all cases obligatory in infusion therapy. Relief of excitation and the elimination of insomnia is achieved by intravenous injection of thiopental sodium or oxybutyrate. You can then begin infusion therapy. The earlier treatment begins, so it is successful.