title: [Update on current care guidelines. The treatment of status epilepticus].
abstract: Status epilepticus is a medical emergency. Most epileptic seizures last for 1-4 minutes and seizures lasting over five minutes, should be treated as status epilepticus. EEG is essential for diagnostics and the monitoring of treatment effect. The treatment for status epilepticus, irrespective of aetiology, can be divided into first-aid medications, such as buccal midazolam or rectal diazepam, first-line medications such as intravenous diazepam or lorazepam, and second-line medications such as fosphenytoin and valproate for adults and phenobarbital for children. Third-line treatment is suppressive general anaesthesia, monitored by continuous EEG. Antiepileptic medication of patients with epilepsy should be carefully re-evaluated after episode of status epilepticus.
authors.forename: Reetta
authors.initials: R
authors.lastname: Kälviäinen
authors.forename: Kai
authors.initials: K
authors.lastname: Eriksson
authors.forename: Olli
authors.initials: O
authors.lastname: Häppölä
authors.forename: Tapani
authors.initials: T
authors.lastname: Keränen
authors.forename: Juoni
authors.initials: J
authors.lastname: Kurola
authors.forename: Anna-Leena
authors.initials: AL
authors.lastname: Kuusela
authors.forename: Tanja
authors.initials: T
authors.lastname: Laukkala
authors.forename: Esko
authors.initials: E
authors.lastname: Ruokonen
authors.forename: Tapani
authors.initials: T
authors.lastname: Salmi
authors.forename: Päivi
authors.initials: P
authors.lastname: Hirsso
authors.forename: Matti
authors.initials: M
authors.lastname: Kotila
mesh_terms: D000768:Anesthesia, General; D000927:Anticonvulsants / Q000627:therapeutic use*; D004569:Electroencephalography; D004630:Emergencies; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D013226:Status Epilepticus / Q000175:diagnosis* / Q000188:drug therapy*
chemical_list: D000927:Anticonvulsants; D006993:Hypnotics and Sedatives