硬膜下血肿术后癫痫持续状态-简单.pptVIP

* Diazepam and lorazepam (valium – ativan) are equally effective Midazolam (Versed) – never compared in a study Fosphenytoin (150mg/min infusion rate) is quicker and less side effects (phlebits, purple glove phenomenon) than phenytoin (50mg/min infusion rate) Evidence supporting valproic acid is lacking, but anectodal reports suggest it is effective Propofol, barbs, and midazolam drip all appear to be equally succefull, however midazolam probably better in individuals who have not received sufficient benzos Ketamine: “agent of last resort”, has proved useful in refractory status epilepticu