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Status epilepticus

Prevalence
Causes
Clinical features
Investigations
Therapy
Prognosis
Therapy

If fits continue (especially if > 1 hour), b intubate and anaesthetise with either 
  • propofol c
  • midazolam d  
  • thiopental d

Note:

  • Propofol is not clearly as good as high-dose barbiturates in terminating seizures or reducing death in patients with refractory status epilepticus. d

Expiry date: September 2004
Levels of Evidence used in grading these guides

Author   RS   Phillips, CM   Ball
Reviewer   S   Straus
CAT Writer   RS   Phillips, C   Wotton, CM   Ball