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Chapter-22 Status Epilepticus

BOOK TITLE: IAP Textbook of Pediatric ICU Protocols

Author
1. Udani Soonu
ISBN
9789350903704
DOI
10.5005/jp/books/11878_22
Edition
2/e
Publishing Year
2013
Pages
5
Author Affiliations
1. PD Hinduja Hospital, Mumbai, Maharashtra, India, PD Hinduja National Hospital and Medical Research Center, Mumbai, e-mail: dr_sudani@hindujahospital.com, PD Hinduja National Hospital and Medical Research Centre, Mumbai; Grand Medical College, Mumbai, India, Hinduja Hospital, Mumbai, Maharashtra, India, PD Hinduja Hospital and Medical Research Center, Mumbai, Maharashtra, India, Hinduja Hospital, Mumbai, Maharashtra, PD Hinduja National Hospital and Medical Research Center, Mumbai, Maharashtra, India, PD Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India, SRCC Children’s Hospital Managed by Narayana Health, Mumbai, Maharashtra, India, SRCC Children's Hospital, Mumbai, Maharashtra, India, SRCC Children’s Hospital (Managed by Narayana Health), Mumbai, Maharashtra, India, Critical Care and Emergency Services, SRCC Children’s Hospital, Narayana Health, Mumbai, Maharashtra, India, PD Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra
Chapter keywords
Levetiracetam, Refractory status epilepticus, Respiratory depression, Endotracheal intubation, Propofol, Brain damage, Epilepticus Management Algorithm, Management of Neonatal Seizure

Abstract

Status epilepticus is condition where a child is having seizure lasting for more than 10 minutes. This chapter provides information on how quickly seizures can be identified and what timely treatment is given. Initially once the seizure is identified, benzodiazepines are given. Respiratory depression or hypotension can occur and is monitored closely. If seizure is not stopped even after ten minutes, then Phenytoin is injected via IV or intraosseous route followed by midazolam. Thiopentone Infusion is the general anesthesia given for severe refractory status, where patient should be intubated and ventilated prior to starting the infusion and inotropes kept on standby. Detailed procedure is seen in the chapter.

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