Treatment of Refractory Status Epilepticus: Literature Review and a Proposed Protocol. Nicholas S. Abend, MD*. † and Dennis J. Dlugos, MD, MSCE*.
Status epilepticus: A single epileptic seizure >30 minutes OR Recurrent epileptic seizures without recovery to baseline level of consciousness lasting over a period >30 minutes. A child seizing >5 minutes when seen in the ED should be treated as for status epilepticus.
If status epilepticus has still not halted. If the patient is still convulsing despite benzodiazepines, phenytoin or valproate loading, and then third
Status epilepticus is generally defined as a single or multiple seizures lasting greater than 30 minutes. If appropriate therapy is delayed, SE can cause permanent neurologic sequela or death, so you should assume that any child who presents actively convulsing is in status epilepticus.
Title: Revised. ALS Protocol 513: Seizures (formerly titled. ‘Status Epilepticus’). Issue Date: November 13, 2003.
A protocol and flowchart for managing super-refractory status epilepticus is suggested. In view of the small number of published reports, there is an urgent need for the establishment of a database of outcomes of individual therapies.
Published on : January 27th, 2015 File Name : appendix c protocol for status epilepticus first consultation2 File Type : PDF File Size : unknown Publisher : www.nice.org.uk Downloads : 3. Share this link.
They published guidelines and a treatment protocol (EFA Working Group on Status Epilepticus, 1993), which was based on a literature review and input from expert reviewers and a professional advisory board.
We review the principles underlying the treatment of status epilepticus and suggest that prehospital treatment is benecial, that therapeutic drugs should be used in rapid sequence according to a dened protocol, and that refractory status epilepticus should be treated with general anaesthesia.
The treatment protocol (Ege Pediatric Status Epilepticus Protocol or EPSEP) was developed based on an operational definition of pediatric SE according to the duration of seizure activity.