Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài Critical care support of patients with nicotine addiction:. | Afessa and Keegan Critical Care 2010 14 155 http content 14 3 155 CRITICAL CARE COMMENTARY L__ Critical care support of patients with nicotine addiction Bekele Afessa and Mark T Keegan See related research by Lucidarme etal. http content 14 2 R58 Abstract Over 500 million of the current world population will die from diseases caused by smoking cigarettes. The symptoms and signs of nicotine withdrawal are not well described in the critically ill. Since the various conditions of critical illness may lead to clinical manifestations mimicking nicotine withdrawal describing its specific manifestations may not be easy. A few case reports suggest that nicotine replacement therapy may ameliorate nicotine withdrawal in the critically ill. However retrospective studies have found that it may increase mortality. Despite the abundance of active smokers there is a paucity of data describing nicotine withdrawal and its prevention and treatment options in the critically ill. Future studies are warranted to address these issues. In the previous issue of Critical Care Lucidarme and colleagues 1 describe the impact of nicotine abstinence on the clinical course of critically ill patients receiving mechanical ventilation for at least 48 hours. Their study included 144 patients 44 smokers and 100 non-smokers. The smokers were more likely to be younger and male have a history of alcoholism and be admitted for septic shock compared to non-smokers. The results of the study showed active smoking history to be an independent risk factor for agitation. Lucidarme and colleagues address an important clinical issue intensivists face daily in our practice. There are billion smokers in the world half of whom will die from diseases caused by smoking 2 . Tobacco products are highly addictive 3 4 and abstinence from their use in active smokers can lead to withdrawal symptoms 5 6 . These symptoms are often non-life threatening and are Correspondence .
