期刊
CURRENT OPINION IN PEDIATRICS
卷 26, 期 6, 页码 668-674出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MOP.0000000000000154
关键词
electroencephalography; management; pediatric; seizure; status epilepticus
类别
资金
- NIH [K23NS076550]
- National Institutes of Health/NINDS
- Harvard Medical School
- Boston Children's Hospital
- Program for Quality and Safety at Boston Children's Hospital
- Payer Provider Quality Initiative
- American Epilepsy Society
- Epilepsy Foundation of America
- Center for Integration of Medicine and Innovative Technology
- Epilepsy Therapy Project
- Pediatric Epilepsy Research Foundation
- Danny Did Foundation
- HHV6 Foundation
- Lundbeck
- Eisai
Purpose of reviewThis review discusses the management of status epilepticus in children, including both anticonvulsant medications and overall management approaches.Recent findingsRapid management of status epilepticus is associated with a greater likelihood of seizure termination and better outcomes, yet data indicate that there are often management delays. This review discusses an overall management approach aiming to simultaneously identify and manage underlying precipitant causes, administer anticonvulsants in rapid succession until seizures have terminated, and identify and manage systemic complications. An example management pathway is provided.SummaryStatus epilepticus is a common neurologic emergency in children and requires rapid intervention. Having a predetermined status epilepticus management pathway can expedite management.
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