Home/Neurology/Question
NeurologyπŸ’¬ Generalstatus-epilepticusRSEpropofol

Refractory status epilepticus β€” benzodiazepine failure protocol, when to use propofol vs midazolam infusion?

Prabhu Kvn
Prabhu Kvn
Other
πŸ‘ 12 viewsπŸ’¬ 0 answersπŸ• 23h ago
⚠For peer discussion only β€” not a substitute for clinical judgment. Always verify with authoritative sources.

42M admitted with refractory status epilepticus. Given lorazepam 4mg IV (2 doses), no cessation. Levetiracetam 60mg/kg loading dose given. Continuous EEG shows generalized electrographic SE. Patient now intubated and in ICU. No structural lesion on emergent MRI. CSF normal. Autoimmune encephalitis panel pending. Per Neurocritical Care Society 2023 SE guidelines (Stage 4 RSE), should I start midazolam continuous infusion (titrate to burst suppression), or propofol? What are the risks of propofol infusion syndrome (PRIS)? When is ketamine or barbiturate coma indicated?

0
0 answers

0 Answers

πŸ’¬
No answers yet
Be the first to share your clinical insight.

Your Answer

Be specific. Cite references where possible. Your credentials will be shown with your answer.

Question Stats
πŸ‘ Views12
⬆ Votes0
πŸ’¬ Answers0
πŸ• Asked 23h ago
Asked by
Prabhu Kvn
Prabhu Kvn
Other
πŸ“ More in Neurologyβ†’