Principles for intensive therapy of status epilepticus in children
Bondarenko, E.S.; Freĭdkov, V.I.
Zhurnal Nevropatologii i Psikhiatrii Imeni S.S. Korsakova 79(10): 1329-1334
1979
ISSN/ISBN: 0044-4588 PMID: 494905 Document Number: 142976
A total of 113 children with brain edema of infectious and toxic nature were studied. The main clinical syndrome in these conditions was an epileptical status. Among anticonvulsive drugs used seduxen appeared to be the most effective. The use of GABA, gas narcosis and myorelaxants is recommended as well. The rehydration by plasma, low molecular plasma substitutes and glucose-polyion solutions are discussed. The paper contains some information on contraindications for early dehydration and rehydration. Hypoxia is eliminated by providing adequate lung ventilation, oxygenotherapy or hyperbaric oxygenation, by using oxidative enzymes and drugs increasing the resistance of the brain to hypoxia and hypothermia. It is recommended that hormonal therapy should be used. The techniques of urgent measures and their sequence are given.