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

Details

Serval ID
serval:BIB_91801E77F814
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Which anesthetic should be used in the treatment of refractory status epilepticus?
Journal
Epilepsia
Author(s)
Rossetti A.O.
ISSN
0013-9580
Publication state
Published
Issued date
2007
Peer-reviewed
Oui
Volume
48
Number
Suppl. 8
Pages
52-5
Language
english
Notes
Publication types: Journal Article ; Review
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.
Keywords
Anesthetics, Anesthetics, Intravenous, Anticonvulsants, Barbiturates, Coma, Electroencephalography, Forecasting, Humans, Midazolam, Practice Guidelines as Topic, Prognosis, Propofol, Status Epilepticus
Pubmed
Web of science
Open Access
Yes
Create date
13/05/2009 16:38
Last modification date
20/08/2019 14:54
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