-
Practice Guideline
[Update on current care guidelines. The treatment of status epilepticus].
- Reetta Kälviäinen, Kai Eriksson, Olli Häppölä, Tapani Keränen, Juoni Kurola, Anna-Leena Kuusela, Tanja Laukkala, Esko Ruokonen, Tapani Salmi, Päivi Hirsso, Matti Kotila, Suomalaisen Lääkäriseuran Duodecimin, Suomen Lastenneurologinen Yhdistys RY:n, and Suomen Neurologinen Yhdistys RY:n Asettama Työryhmä.
- Duodecim. 2009 Jan 1;125(22):2469-71.
AbstractStatus epilepticus is a medical emergency. Most epileptic seizures last for 1-4 minutes and seizures lasting over five minutes, should be treated as status epilepticus. EEG is essential for diagnostics and the monitoring of treatment effect. The treatment for status epilepticus, irrespective of aetiology, can be divided into first-aid medications, such as buccal midazolam or rectal diazepam, first-line medications such as intravenous diazepam or lorazepam, and second-line medications such as fosphenytoin and valproate for adults and phenobarbital for children. Third-line treatment is suppressive general anaesthesia, monitored by continuous EEG. Antiepileptic medication of patients with epilepsy should be carefully re-evaluated after episode of status epilepticus.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..