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Hypomagnesemia In Patients OF Critical Care And Alcohol Withdrawal Syndrome: A Review

Published online by Cambridge University Press:  01 September 2022

M. Chowdhury*
Affiliation:
JAMAICA HOSPITAL MEDICAL CENTER, Psychiatry, NEW YORK, United States of America
B. Ponieman
Affiliation:
JAMAICA HOSPITAL MEDICAL CENTER, Psychiatry, NEW YORK, United States of America
*
*Corresponding author.

Abstract

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Introduction

Magnesium is one of the crucial electrolytes that plays a significant role in maintaining various cellular and metabolic processes. Studies demonstrate that Hypomagnesemia is evident in patients of critical care unit and alcohol withdrawal syndrome. Low Magnesium level is associated several dreadful complications as such higher mortality, cardiac arrythmias, septic shock, prolonged ICU stay, increased need for intubations and delayed weaning from ventilation etc. Prescribing Magnesium with cautious supervision might prevent these alarming sequels. Value to determine Hypomagnesemia regarding critical patients is extremely significant to determine timing for possible interventions.

Objectives

To review the impact and significance of low serum Magnesium level on prognosis of patients with critical care unit and alcohol withdrawal syndrome.

Methods

To evaluate our reseach topic, we search through “Pubmed” and “Google Scholar” database using key words “Hypomagnesemia”, “Critical care” and “Alcohol withdrawal syndrome”, articles popped up. We select 5 articles on the basis of internal and external validity.

Results

Level of Magnesium determination is extremely crucial to steer proper management in ICU, CDU, and critically ill patients. Studies reflecting most of the patients in critical care and alcohol withdrawal syndrome suffer from Hypomagnesemia. Most recent studies demonstrate that a level below 0.75 mmol/L is considered Hypomagnesemia for total Mg and level below 0.42 mmol/L for ionized Mg.

Conclusions

Hypomagnesemia is associated with dire consequences and fatal outcomes for critical patients in terms of mortality,prolonged ICU stay,septic shock as well as need for mechanical ventilation.Supplementing Mg with careful monitoring could prevent lethal aftermath while treating patients of AWS and critical care.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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