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Erschienen in: Neurocritical Care 1/2012

01.09.2012 | Review Article

Emergency Neurological Life Support: Status Epilepticus

verfasst von: Jan Claassen, Robert Silbergleit, Scott D. Weingart, Wade S. Smith

Erschienen in: Neurocritical Care | Sonderheft 1/2012

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Abstract

Patients with prolonged or rapidly recurring convulsions lasting more than 5 min are in status epilepticus (SE) and require immediate resuscitation. Although there are relatively few randomized clinical trials, available evidence and experience suggest that early and aggressive treatment of SE improves patient outcomes, for which reason it was chosen as an Emergency Neurologic Life Support protocol. The current approach to the emergency treatment of SE emphasizes rapid initiation of adequate doses of first line therapy, as well as accelerated second line anticonvulsant drugs and induced coma when these fail, coupled with admission to a unit capable of neurologic critical care and electroencephalography monitoring. This protocol not only will focus on the initial treatment of SE but also review subsequent steps in the protocol once the patient is hospitalized.
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Metadaten
Titel
Emergency Neurological Life Support: Status Epilepticus
verfasst von
Jan Claassen
Robert Silbergleit
Scott D. Weingart
Wade S. Smith
Publikationsdatum
01.09.2012
Verlag
Humana Press Inc
Erschienen in
Neurocritical Care / Ausgabe Sonderheft 1/2012
Print ISSN: 1541-6933
Elektronische ISSN: 1556-0961
DOI
https://doi.org/10.1007/s12028-012-9758-1

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