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Titolo:
TREATMENT OF CONVULSIVE STATUS EPILEPTICUS - RECOMMENDATIONS OF THE EPILEPSY-FOUNDATION-OF-AMERICA WORKING GROUP ON STATUS EPILEPTICUS
Autore:
DODSON WE; DELORENZO RJ; PEDLEY TA; SHINNAR S; TREIMAN DM; WANNAMAKER BB;
Indirizzi:
EPILEPSY FDN AMER,4351 GARDEN CITY DR LANDOVER MD 20785
Titolo Testata:
JAMA, the journal of the American Medical Association
fascicolo: 7, volume: 270, anno: 1993,
pagine: 854 - 859
SICI:
0098-7484(1993)270:7<854:TOCSE->2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
1ST UNPROVOKED SEIZURE; INTRAVENOUS PHENYTOIN; FEBRILE SEIZURES; CHILDREN; DIAZEPAM; LORAZEPAM; RECURRENCE; CHILDHOOD; VALPROATE; INFANTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
52
Recensione:
Indirizzi per estratti:
Citazione:
W.E. Dodson et al., "TREATMENT OF CONVULSIVE STATUS EPILEPTICUS - RECOMMENDATIONS OF THE EPILEPSY-FOUNDATION-OF-AMERICA WORKING GROUP ON STATUS EPILEPTICUS", JAMA, the journal of the American Medical Association, 270(7), 1993, pp. 854-859

Abstract

Convulsive status epilepticus is an emergency that is associated withhigh morbidity and mortality. The outcome largely depends on etiology, but prompt and appropriate pharmacological therapy can reduce morbidity and mortality. Etiology varies in children and adults and reflectsthe distribution of disease in these age groups. Antiepileptic drug administration should be initiated whenever a seizure has lasted 10 minutes. Immediate concerns include supporting respiration, maintaining blood pressure, gaining intravenous access, and identifying and treating the underlying cause. Initial therapeutic and diagnostic measures are conducted simultaneously. The goal of therapy is rapid termination of clinical and electrical seizure activity; the longer a seizure continues, the greater the likelihood of an adverse outcome. Several drug protocols now in use will terminate status epilepticus. Common to all patients is the need for a clear plan, prompt administration of appropriate drugs in adequate doses, and attention to the possibility of apnea, hypoventilation, or other metabolic abnormalities.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/07/20 alle ore 09:35:52