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Status epilepticus.

Status epilepticus is a serious medical emergency requiring immediate and rational therapy. Rapid initial management is directed at stabilization of vital functions and a quick but thorough assessment of clinical and laboratory studies to determine etiologies. Initial drug management is directed at the rapid control of status with prevention of recurrence by sustaining a therapeutic level of a long acting anticonvulsant. Few patients should remain in status more than 30 minutes after initiation of therapy.

Anesthesia, General↗

Status epilepticus.

Treatment of SE has improved considerably during the last decade. Mortality from SE itself should be minimal if effective treatment is delivered rapidly. Currently, the risk of complications from appropriate treatment is less than the risk of injury from additional seizures. Loading with phenytoin, 20 mg per kg, using benzodiazepam if needed, is the current treatment of choice. If seizures persist, phenobarbital 10 to 20 mg per kg should be used. If convulsive SE continues for more than 1 hour, pentobarbital coma is necessary.

Adult↗