[Managing anesthesia in the alcoholic XXXX ].

@entity1 @entity167 @entity988 @entity5882 @entity1173
In most developed countries, @entity167 is a socially tolerated drug. Nevertheless, its consumption is associated with several negative side-effects during anaesthesia. In surgical @entity1 the prevalence of @entity988 exceeds 20%. @entity5882 and acute @entity988 have an important impact on perioperative morbidity and mortality and especially on anaesthetic risk, due to pharmacological interactions, pathophysiological changes and direct pharmacological interactivities between @entity167 and narcotics. Symptoms of @entity167 withdrawal are a serious and potentially life-threatening complication and should be avoided or the risk for occurrence should at least be reduced. @entity1 with a high risk of developing perioperative symptoms of @entity167 withdrawal can be detected by laboratory tests and questionnaires. The most important implication for anaesthesia is the choice of a rapid sequence induction to reduce the risk of @entity1173 and the maintenance of haemodynamic stability and liver perfusion. Maintaining body temperature and providing intensive postoperative surveillance and care are necessary. The indications for regional anaesthesia are the same as for other @entity1 (cooperativeness, coagulation, consent, etc.). In general, awareness of possible interactions can reduce perioperative complications and improve postoperative outcome.
