Management of status epilepticus in children prior to medical retrieval : Deviations from the guidelines

© 2019 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)..

AIM: To evaluate the influence of adherence to treatment guidelines on outcomes in children presenting with status epilepticus (SE) using the Newborn and Paediatric Emergency Transport Service, New South Wales prospective registry.

METHODS: We reviewed the treatment of children with SE, transported by the Newborn And Paediatric Emergency Transport Service to a tertiary paediatric hospital, over 1 year. We evaluated variation in management from the New South Wales clinical practice guideline.

RESULTS: There was excessive administration of benzodiazepines (BZD) and a delay in administration of appropriate second-line treatment of status (median 45 min). There was excessive use of BZD, with five or more doses of BZD associated with significantly higher odds for intubation.

CONCLUSION: There is considerable scope to improve clinician compliance with the SE clinical practice guidelines.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:55

Enthalten in:

Journal of paediatrics and child health - 55(2019), 12 vom: 01. Dez., Seite 1458-1462

Sprache:

Englisch

Beteiligte Personen:

Uppal, Preena [VerfasserIn]
Cardamone, Michael [VerfasserIn]
Webber, Christopher [VerfasserIn]
Briggs, Nancy [VerfasserIn]
Lawson, John A [VerfasserIn]

Links:

Volltext

Themen:

12794-10-4
Anticonvulsants
Benzodiazepines
Guideline
Guideline adherence
Journal Article
Management
Seizure
Status epilepticus

Anmerkungen:

Date Completed 15.03.2021

Date Revised 15.03.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/jpc.14448

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM295464046