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Continuing Education in Anaesthesia, Critical Care & Pain 2009 9(1):10-13; doi:10.1093/bjaceaccp/mkn045
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© The Board of Management and Trustees of the British Journal of Anaesthesia [2009]. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Alcohol and anaesthesia

Richard Chapman, BM, BCh, FRCA
Clinical Fellow, Department of Anaesthesia
Hammersmith Hospital
London
UK

Felicity Plaat, MA, MB BS FRCA
Consultant, Department of Anaesthesia
Hammersmith Hospital
Du Cane Rd
London
W12 0HS
UK
Tel: +44 020 8383 3991 Fax: +44 020 8383 5373 Email: felicity.plaat@imperial.nhs.uk

The first 150 words of the full text of this article appear below.


Key points

Consumption of alcohol is widespread in British society and a common co-factor in emergency hospital admissions.
Morbidity associated with chronic alcohol abuse appears to be increasing and affecting younger patients.
Anaesthetists must consider the acute and chronic effects of alcohol at all stages of the patient pathway.
Alcohol withdrawal is a potentially life-threatening complication that must be diagnosed and actively managed.
Anaesthetists are as susceptible to alcohol-related disease as others in the same socio-economic group.

 

Two-thirds of adults in England drink alcohol on a weekly basis, and 30% drink more than the recommended daily level.1 Among children, 46% of 15 yr olds and 3% of 11 yr olds admit to drinking periodically.2

Alcohol misuse is estimated to cost the NHS £3 billion per year. Alcohol-related disease was the primary or secondary diagnosis for over 180 000 NHS hospital admissions in 2004/2005.3 This includes a doubling in the number . . . [Full Text of this Article]


   Acute intoxication
 

   Chronic alcohol misuse
 

   Anaesthetic considerations
 
Pre-operative

Intra-operative

Post-operative


   Alcohol withdrawal syndrome
 

   Alcohol misuse and doctors
 
Anaesthetists and alcohol misuse

Rehabilitation


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