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ABSTRACT

BACKGROUND:

Refractory status epilepticus (RSE), defined as status epilepticus that fails to respond to first, second and third-line therapy. The RSE is associated with high morbidity and mortality. Treatment guidelines of RSE give a spectrum of options, such as, continuous intravenous (i.v.) midazolam (MDL), or continuous i.v. propofol (PRO) as alternatives to phenobarbital (PB) or continuous i.v. pentobarbital (PTB).

OBJECTIVE:

To study the efficacy of very-high-dose phenobarbital (VHDPB) for treatment RSE. STUDY

DESIGN:

Retrospective study MATERIAL AND

METHOD:

The authors collected and analyzed data from adult patients who were diagnosed with RSE.

RESULTS:

The authors present 10 patients with RSE who were treated with VHDPB. All of them were generalized convulsive status epilepticus (GCSE). Ages ranged from 16-86 years old (mean. 43 years). PB dosage ranged 40-140 mg/kg/day (mean 70 mg/kg/day). The duration of status epilepticus (SE) varied widely, ranged 1-44 days (mean 7 days). PB level ranged 35.29-218.34 ug/mL (mean 88.1 ug/mL). RSE was controlled by VHDPB 70%, 30% were not controlled.

ConclusioN:

VHDPB were considered as alternative treatment for RSE.
Assuntos
Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Fenobarbital / Recidiva / Estado Epiléptico / Idoso de 80 Anos ou mais / Idoso / Feminino / Humanos / Masculino / Estudos Retrospectivos / Adolescente Tipo de estudo: Guia de Prática Clínica / Estudo observacional Limite: Aged80 Idioma: Inglês Ano de publicação: 2007 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Fenobarbital / Recidiva / Estado Epiléptico / Idoso de 80 Anos ou mais / Idoso / Feminino / Humanos / Masculino / Estudos Retrospectivos / Adolescente Tipo de estudo: Guia de Prática Clínica / Estudo observacional Limite: Aged80 Idioma: Inglês Ano de publicação: 2007 Tipo de documento: Artigo