[Barbiturate coma in the treatment of refractory status epilepticus in adults. Usefulness of continuous electroencephalography in intensive care].
Status epilepticus represents one of the most frequent neurological reasons for admission to the intensive care ward. If it resists well-managed treatment, more aggressive measures must be taken. We report 3 such situations in which patients were treated by barbiturate coma under continuous electroencephalographic monitoring. On the basis of this experience we attempt to elaborate guidelines for the use of this technique.
Jolliet
P
P
Clinique médicale, Hôpital cantonal universitaire, Genève.
Hillion
C
C
Chevrolet
J C
JC
D000328:Adult; D001463:Barbiturates / Q000627:therapeutic use; D002998:Clonazepam / Q000627:therapeutic use; D003422:Critical Care; D004359:Drug Therapy, Combination; D004569:Electroencephalography / Q000379:methods*; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D013226:Status Epilepticus / Q000188:drug therapy* / Q000503:physiopathology; D013874:Thiopental / Q000008:administration & dosage*
D001463:Barbiturates; D002998:Clonazepam; D013874:Thiopental
Le coma barbiturique dans le traitement de l'état de mal convulsif réfractaire de l'adulte. Utilité de l'électroencéphalogramme continu aux soins intensifs.