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management neurology epilepticus diagnosis pediatrics 3 encephalopathy evaluation mgh perioperative posterior preop preoperative protocol reversible risk seizure seizures stratification syndrome
Status Epilepticus - Management Seizure > 5 mins or two seizures without complete recovery between them PEDS Benzo Dose
Status Epilepticus ... Lorazepam 0.1 mg/kg ... seizures #management #treatment ... #algorithm #peds ... #pediatrics #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
on MRA/CTA • Anterior ... • EEG: With persistent ... epilepticus Treatment ... underlying cause • Treatment ... Seizures: Treat with AEDs
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... mg) slowly over 2- ... seizure #Management #neurology ... #pediatrics #peds ... #algorithm
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... ASA class If high ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if:
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
Treatment Protocol ... pre/post) 3rd ... mg/kg/hr 2) Propofol ... #Protocol #algorithm ... #neurology #management
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