Management of status epilepticus in children prior to medical retrieval: Deviations from the guidelines.
J Paediatr Child Health
; 55(12): 1458-1462, 2019 Dec.
Article
en En
| MEDLINE
| ID: mdl-30924266
ABSTRACT
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.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Estado Epiléptico
/
Pautas de la Práctica en Medicina
/
Adhesión a Directriz
/
Anticonvulsivantes
Tipo de estudio:
Etiology_studies
/
Guideline
Límite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
País/Región como asunto:
Oceania
Idioma:
En
Revista:
J Paediatr Child Health
Asunto de la revista:
PEDIATRIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Australia