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Epilepsy & behavior : E&B · Nov 2015
Propofol-ketamine combination therapy for effective control of super-refractory status epilepticus.
- Vivek Sabharwal, Eugene Ramsay, Raisa Martinez, Rachel Shumate, Fawad Khan, Hina Dave, Ifeanyi Iwuchukwu, and Harold McGrade.
- Ochsner Medical Center, New Orleans, LA, USA.
- Epilepsy Behav. 2015 Nov 1; 52 (Pt A): 264-6.
AbstractRetrospective analysis was conducted of patients with SRSE who were treated simultaneously with propofol and ketamine. Sixty-seven patients were identified from 2012 to 2015, and outcomes documented were resolution and mortality. The duration of combined ketamine and propofol use ranged from 1 to 28 days (mean - 3.6 days). Infusion rates ranged up to 145 and 175 mcg/kg/min. Vasopressors were used in 53 patients (79%), and were given within the first 5 days of the ICU admission in 48 (91%) patients. The overall SRSE resolution rate was 91%, and the overall mortality including patients with anoxic brain injury was 39%. Of the 13 patients with SRSE as a result of anoxic brain injury, SRSE was controlled in 5 (56%). The primary determinant of mortality was family withdrawing care related to the presence of severe medical/neurological diseases.Copyright © 2015 Elsevier Inc. All rights reserved.
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