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Can Baclofen Benefit ICU Patients at Risk for Alcohol Withdrawal Syndrome?

Feb 24, 2021 Drug reduced agitation-related events but increased time on vent and length of ICU stay Critically ill patients on mechanical ventilation who were at risk for alcohol withdrawal syndrome (AWS) had fewer agitation-related events with high-dose baclofen than placebo, a prophylactic treatment trial showed. However, the effect size was modest and the baclofen group had longer median length of mechanical ventilation (9 versus 8 days) and longer ICU stay (14 versus 11 days) compared with the placebo group, reported Karim Asehnoune, MD, PhD, of D, CHU deNantes in France, and co-authors in . “The deeper sedation experienced by patients randomized to receive baclofen compared with placebo may explain both the statistically significant decrease in the primary outcome of at least one agitation-related event and the significant increase in the prespecified secondary end points of duration of mechanical ventilation and of ICU stay,” Asehnoune and colleagues wrote.

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