How do you target therapy before the EEG is connected in a patient who comes to the ED in super refractory generalized convulsive status epilepticus once the convulsions resolve?

Topics: Epilepsy • Neurology

If the patient is in burst-suppression once EEG is connected, how long do you keep patient in burst-suppression before weaning sedation?

Answer from: at Community Practice

I infer from the context of your follow-up question that the patient was most likely intubated and started on an appropriate sedative drip. I have typically seen burst-suppression maintained for 48 hours, longer if the patient had failed such a duration in the past. Typically targeted therapy will...

Comments

at University of Louisville School of Medicine
Would the approach be different is there is a know...

at Neurology Associates of Norwalk
I was not considering a dual diagnosis in the orig...

at University of Louisville School of Medicine
Thanks so much, this is very helpful.

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