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Management of refractory status epilepticus in adults


Super-Refractory Status Epilepticus - Aging and disease

Stage 2 SE occurs when there are continued seizures despite benzodiazepine therapy, and treatment in this stage is with IV anti-seizure drugs, including ...

Status Epilepticus Treatment & Management - Medscape Reference

Administer diazepam (0.15 mg/kg) or lorazepam (0.1 mg/kg) IV over 5 minutes, followed by fosphenytoin or phenytoin. Fosphenytoin is preferable, ...

Review and Updates on the Treatment of Refractory and Super ...

These therapies include immunotherapy, neuromodulation, hypothermia, ketogenic diet, and finally surgical intervention in select cases.

The Treatment and Prognosis of Refractory and ... - Thieme Connect

However, RSE may also occur in previously healthy adults as the first manifestation of epilepsy ('de novo' status epilepticus). [10]. Management. The ...

Modern Treatment of Status Epilepticus in Adults - Exon Publications

The drug treatment algorithms for status epilepticus generally go through three stages, starting with benzodiazepines: lorazepam, midazolam, or diazepam as ...

Management of Status Epilepticus | AAFP

The benzodiazepines most commonly used to treat status epilepticus are diazepam (Valium), lorazepam (Ativan), and midazolam (Versed). All three ...

Management of refractory status epilepticus in adults - ResearchGate

Treatment must be initiated as early as possible and consists of benzodiazepine administration and supportive measures for the airway and circulation. These ...

A practical approach to in-hospital management of new-onset ...

Management of seizures in the initial 24–48 h should be like any case of refractory status epilepticus. However, based on the published ...

Status Epilepticus in Adults - DynaMed

American Clinical Neurophysiology Society (ACNS) Standardized Critical Care Electroencephalography (EEG) Terminology for Seizures and Status Epilepticus · ≥ 10 ...

The treatment of refractory status epilepticus - an overview

One of the most important options for the primary treatment of status epilepticus is the rapid and adequate administration of benzodiazepines.

Management of status epilepticus in adults. Position paper of ... - LICE

These limitations are even more evident for trials conducted in refractory SE (RSE) and SRSE. Finally, small case se- ries report treatment with drugs that are ...

An update on the management of status epilepticus in adults

When SE becomes super-refractory, experts recommend that AEDs be used synchronously with general anesthesia, and alternative therapies can then be implemented.

New-onset refractory status epilepticus (NORSE) - Practical Neurology

10 ,11 The median stay in intensive care for adults is 15 days12 and 20–40 days for children. Status epilepticus lasts longer in patients with ...

Status epilepticus in adults: a clinically oriented review of etiologies ...

The management of refractory GCSE is well-established. If initial ASMs fail to control seizures, the appropriate course of action is to ...

Status epilepticus guideline - The Walton Centre

in the management of refractory status epilepticus, with two randomised controlled trials ... Propofol treatment in adult refractory status epilepticus. Mortality ...

[PDF] Management of refractory status epilepticus in adults

Semantic Scholar extracted view of "Management of refractory status epilepticus in adults: still more questions than answers" by A. Rossetti et al.

Status Epilepticus - EMCrit Project

Most patients will be kept intubated at least one day. For very refractory seizures, a longer period of sedation may be needed. Careful ...

Management of refractory status epilepticus in adults - OUCI

Management of refractory status epilepticus in adults: still more questions than answers ; Journal: The Lancet Neurology, 2011, № 10, p. 922-930 ; Publisher: ...

Factors associated with mortality in patients with super-refractory ...

Super-refractory status epilepticus (SRSE) is a critical condition in which seizures persist despite anesthetic use for 24 h or longer.

Update on Refractory Status Epilepticus - Practical Neurology

Options at this stage include more intravenous benzodiazepines or intravenous phenobarbital, valproic acid or levetiracetam.5. A neurological examination to the ...