Abstract:
:Status epilepticus is a serious medical emergency that requires prompt and appropriate intervention. Maintenance of adequate vital function with attention to airway, breathing, and circulation; prevention of systemic complications; and rapid termination of seizures must be coupled with investigating and treating any underlying cause. In most patients with SE, the use of adequate dosages of first-line antiepileptic agents allows for the successful and rapid termination of SE and avoidance of potential neurologic complications. Refractory SE requires more aggressive treatment, often the use of intravenous anesthetic agents and intense monitoring, and therefore must be managed in a pediatric intensive care unit with a multidisciplinary approach. Large, controlled, multicenter, comparative studies are needed urgently to clarify better the optimal management of these patients.
journal_name
Pediatr Clin North Amjournal_title
Pediatric clinics of North Americaauthors
Hanhan UA,Fiallos MR,Orlowski JPdoi
10.1016/s0031-3955(05)70334-5subject
Has Abstractpub_date
2001-06-01 00:00:00pages
683-94issue
3eissn
0031-3955issn
1557-8240pii
S0031-3955(05)70334-5journal_volume
48pub_type
杂志文章,评审abstract::This article covers several aspects of the clinical management of neonatal hypoglycemia that have recently evolved, reviewing the evidence informing these recommended changes in practice. Topics covered include use of buccal dextrose gel, rationale for avoiding the traditional "mini dextrose bolus," and benefits of di...
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