Which anesthetic should be used in the treatment of refractory status epilepticus?

Abstract:

:While the treatment of refractory status epilepticus (SE) relies on the use of anesthetic agents, mostly barbiturates, propofol, or midazolam, the study of the available literature discloses that the evidence level is low. Therapeutic coma induction appears straightforward for generalized convulsive or subtle SE, but this approach is debated for complex partial SE. Each anesthetic has its own advocates, and specific advantages and risks; furthermore, several different protocols have been reported regarding the duration and depth of sedation. However, it seems that the biological background of the patient (especially the etiology) remains the main prognostic determinant in SE. There is a clear need of controlled trials regarding this topic.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Rossetti AO

doi

10.1111/j.1528-1167.2007.01350.x

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

52-5

eissn

0013-9580

issn

1528-1167

journal_volume

48 Suppl 8

pub_type

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