Here, we review the treatment options for pediatric refractory status epilepticus, provide an example of a protocol based on our experience and the limited available data, and highlight key issues that future investigations must confront.
Multiple protocols for management of childhood status epilepticus are available, without much consensus.
Abend NS, Dlugos DJ. Treatment of refractory status epilepticus: literature review and a proposed protocol. Pediatr Neurol. 2008 Jun.
NO Status Epilepticus. YES. Pediatric Medical Section Protocols. Notify Destination or Contact Medical Control. Active Seizure in Known or Suspected Pregnancy > 20 Weeks. Exit to Obstetrical Emergency Protocol. Pearls.
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.
Pediatric Status Epilepticus And Intubation. The Internet Journal of Pediatrics and Neonatology.
! LPCH Pediatric Status Epilepticus Pathway. Immediate Management (0-5 minutes): • Non-invasive airway protection with optimal head/jaw positioning for airway patency.
However, an ideal treatment protocol cannot be established because of the lack of large-scale comparative studies on pediatric status epilepticus. Thus, several treatment protocols varying according to different countries or regions have been used in recent years [1,2,12].
Consider Pediatric Altered Mental Status Protocol if indicated. Or Postictal State. Monitor and Reassess.
Pediatric Seizure and Status Epilepticus (SE): A Primer for Treating Challenging Pediatric Seizure Cases.