Manejo de la crisis epiléptica en urgencias en el paciente epiléptico pediátrico / Emergency department management of epileptic seizures in children
Emergencias (St. Vicenç dels Horts)
; 25(2): 116-118, abr. 2013. ilus
Article
em Es
| IBECS
| ID: ibc-113341
Biblioteca responsável:
ES1.1
Localização: BNCS
RESUMEN
Existen protocolos definidos del manejo farmacológico de una crisis epiléptica (CE) en urgencias, pero donde no hay consenso es en el enfoque posterior (necesidad de realizar exploraciones complementarias o destino) del paciente pediátrico epiléptico conocido que tras una o más CE recupera su estado neurológico basal. Se presentan 164 pacientes con epilepsia que acuden a urgencias por presentar una o más CE y se valora su perfil y si las exploraciones complementarias, cuando éstas se realizan, son de utilidad. Un 60% de los pacientes acuden tras una única CE que cede a nivel prehospitalario. Se realiza analítica sanguínea al 29,9% (todas sin alteraciones) y niveles de fármaco antiepiléptico (FAE) al 22% (resultan alterados el 36,1%). La determinación del nivel de FAE, aunque es la prueba que ofrece mayor rendimiento diagnóstico, en la práctica tiene una serie de limitaciones que hacen que sea poco utilizado (AU)
ABSTRACT
Protocols for the emergency medical management of epileptic seizures are available. However, for children with a diagnosis of epilepsy who recover their baseline neurological status after one or more seizures, there is a lack of consensus on follow-up care (eg, the need to order complementary tests or not, or where to refer the patient). Were viewed the cases of 164 patients with epilepsy who came to the emergency department with one or more seizures. The aim was to assess patient profile, the ordering of additional tests and whether the tests proved useful for managing the case. Sixty percent of the patients sought emergency care after a single seizure that resolved before arrival at the hospital. Blood tests were done in 29.9% (all were normal) and antiepileptic drug levels were measured in 22% (36.1%were too low). Although testing for antiepileptic drug concentrations offers the highest diagnostic yield, this test is subject to certain limitations that lead to reduced use (AU)
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Base de dados:
IBECS
Assunto principal:
Convulsões
/
Serviços Médicos de Emergência
/
Tratamento de Emergência
/
Epilepsia
Tipo de estudo:
Guideline
Limite:
Child
/
Female
/
Humans
/
Male
Idioma:
Es
Ano de publicação:
2013
Tipo de documento:
Article