Table 2, Flow-chart for treatment of status epilepticus, Stage 1-5 ...
When should active treatment be ended in the individual case? Should be tried/discussed Ketamine (loading dose 2.5 mg/kg (1-3), continuous infusion at 3 mg/kg/h until burst suppression in EEG or up to a maximum dose of 10 mg/kg/h.
Decisions regarding ongoing treatment once seizures are controlled must be in line with MHRA advice. If status persists, see the full GGC guideline for details and seek specialist advice
See the main guideline for dosage and administration instructions. See Appendix 1 below for guidance on indications/cautions to guide AED choice. If seizure is not terminating call ICU to inform them of the patient and contact neurology via switchboard for advice.
flowchart. Either: Midazolam 0.3 mg/kg Buccal or Intranasal (max 10 mg) OR Midazolam 0.15 mg/kg IM (max 5 mg) OR Diazepam 0.5 mg/kg PR (max 10 mg) Vascular access obtained (within 1 minute) Midazolam or Diazepam given < 1 hr prior to presentation should be regarded as ‘initial doses already given’ within this flowchart. Either:
Clinical Pathway for Evaluation/Treatment of - Children's …
The status epilepticus clinical pathway is a detailed guide to aid clinicians in treating pediatric patients who present to the emergency department with status epilepticus.
Jul 7, 2019 · am and IV diazepam are successful at stopping seizures within five minutes. There is level B evidence that IM midazolam, intranasal midazolam, recta. diazepam, and buccal midazolam are most likely efficacious at stopping SE. There is inadequate evidence to support the use of sublingual, rectal, and intranasal lorazepam, valpr.
Status epilepticus is a life-threatening neurological condition defined as 5 or more minutes of continuous seizure activity, or repetitive seizures without regaining consciousness. 2.1. Common Causes. In an individual with epilepsy, poor compliance with antiepileptic drug regime. Alcohol. Cocaine. Amphetamine. Infection. Trauma. Tumour. Stroke.
•Focal seizures with or without altered awareness: may look blank, pale, lip licking/smacking, plucking at clothes. •After a seizure the pupil may feel sleepy. •Allow pupil to rest in a quiet...
First Seizure Flowchart ED guideline: Status epilepticus ED guideline: Febrile convulsion Treat aetiology as required: • Hypoglycaemia • Poisoning • Head Injury • Trauma • NAI • Meningitis Admit Obtain IV access Seizure continues Duration > 5 minutes Febrile or history of fever Consider aetiology requiring treatment Meets admission ...
epilepticus (CSE) is a seizure that continues for greater than 5 min, so treatment usually starts once seizure has lasted > 5 min • After 5 min seizures are unlikely to spontaneously terminate • The risk of a seizure becoming refractory increases with increasing seizure duration. •*ESETT/**ECLIPSE/***ConSEPT trials showed equal potency for