Difficult to sedate case of acute behavioural disturbance secondary to baclofen withdrawal

Downes, Michael A.; Sadler, Craig; Vidler, Sam; Lovett, Caitlyn J

doi:10.1111/1742-6723.13289

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Causes and Epidemiology1

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2019

2020

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Cited by 2 publications

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“…The syndrome associated with alcohol withdrawal and its counterpart, delirium tremens, will be familiar to most clinicians. Drug withdrawal states from baclofen (Downes 2019) and gamma-hydroxybutyrate (GHB) (Lal Kashyap 2011; Corstens 2018) have been shown to precipitate problematic withdrawal states that prove a great challenge for carers trying to manage the agitation and autonomic instability.…”

Section: Causes and Epidemiologymentioning

confidence: 99%

Acute behavioural disturbance: a physical emergency psychiatrists need to understand

Stevenson

Tracy

2020

BJPsych advances

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SUMMARY The phenomenon of acute behavioural disturbance (ABD) (also known as acute behavioural disorder or excited delirium) is an underrecognised and potentially life-threatening syndrome, and an emergency in psychiatric settings. Causes are discussed and the pathophysiology explained. The challenges faced by practitioners are highlighted, including how ‘standard’ control and restraint can exacerbate symptoms. Initial treatment strategies are suggested.

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Section: Causes and Epidemiologymentioning

confidence: 99%