Apéndices sobre: * Terapia electroconvulsiva. * Efectos colaterales de los medicamentos e intervenciones de enfermería relacionadas. La terapia electroconvulsiva (TEC, o ECT por sus siglas en inglés) es un . proveedor de cuidados de la salud le colocará una vía intravenosa (IV) en una vena. ECG bpm. Gracias! Por qué es un tema de salud pública. Preparación previa del paciente. Reglamentación. Terapia electroconvulsiva.

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Management of pediatric status epilepticus. Carmen Paz Vargas L. Pediatric Status Epilepticus SE electrovonvulsiva an emergency situation with high morbidity and mortality that requires early and aggressive management. The minimum time criterion to define SE was reduced from 30 to 5 minutes, defined as continuous seizure activity or rapidly recurrent seizures without resumption of consciousness for more than 5 minutes.

Those that persist for more than 30 minutes are more difficult to treat.

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Refractory SE is the condition that terapja beyond minutes and requires anesthetic management. Super-refractory SE is the state of no response to anesthetic management or relapse during withdrawal of these drugs. The aim of this review is to provide and update on convulsive SE concepts, pathophysiology, etiology, available antiepileptic treatment and propose a rational management scheme.

A literature search of articles published between January and Januaryfocused on pediatric population was performed. The evidence about management in children is limited, mostly corresponds to case series of patients grouped by diagnosis, mainly adults.

These publications show treatment alternatives such as immunotherapy, ketogenic diet, surgery and hypothermia. El pediatra debe actualizarse para implementar las medidas recomendadas en protocolos internacionales. Cada grupo se divide en focal y generalizado. Cuadros recientemente descritos incluyen 8, Del grupo descrito, 6 pacientes presentaron anticuerpos anti-receptor de glutamato GluR epsilon 2. Se describen 4 fases generales en el tratamiento del EEC: No existen datos suficientes que justifiquen su uso antes que FNT.


Flujograma para el tratamiento del EE-SR. Adaptado de Shorvon, et al. The treatment electrocnovulsiva super-refractory status epilepticus: Propuesto en base a protocolo de tratamiento de SE-SR. Figuras 1 y 2 3. Cuiados de Shorvon S, Ferlisi M. The outcome of therapies in refractory and super-refractory convulsive status epilepticus and recommendations for cuidadps.

Son factores de riesgo: Antagonista no competitivo de receptores NMDA. En muchos centros se utiliza de rutina en EE-SR por su efecto neuroprotector, tiene alta tasa de complicaciones: La evidencia es escasa pero convincente.

Se recomienda no usar junto a propofol o esteroides 3, Morbilidad a largo plazo: Df of descriptive terminology for ictalsemiology: Report of the ILAE task force on classification and terminology. Epilepsia ; 40 1: Shorvon S, Ferlisi M.

Encyclopedia of clinical neuropsychology. Springer New York, A prospective, population-based epidemiologic study of status epilepticus in Richmond, Virginia. Neurology ; 46 4: An approach to therapy in this difficult clinical situation. Epilepsia ; 52 8: Jacob T, Elrctroconvulsiva S. Enfegmeria Rev Neurosci ; 9 5: Why, what, and how.

J Postgrad Med ; Lamsa K, Taira T. J Neurophysiol ; Mitochondrial dysfunction associated with neuronal death following status epilepticus in rat.

Epilepsy Res ; The uncommon causes of status epilepticus: Epilepsy Research ; Chin R, Neville B. Treatment of community-onset, childhood convulsive status epilepticus: Lancet Neurol ; 7 8: Diagnostic assessment of the child with status epilepticus an evidence-based review: Kramer U, Ching-Shiang Ch.

Does duration of anesthesia affect outcome?

Epilepsia ; 53 7: Ismail F, Kossoff E. Multi-labeling or distinct epileptic entities? Epilepsia ; 52 Paraneoplastic anti-N-methyl-D-aspartate receptor encephalitis associated with ovarian teratoma. Ann Neurol ; Lancet Neurol ; Florance-Ryan N, Dalmau J.


Update on anti-N-methyl-D-aspartate receptor encephalitis in children and adolescents. Curr Opin Pediatr ; Complex partial status epilepticus revealing anti-NMDA receptor encephalitis.

Epileptic Disord ; Rev Neurol leectroconvulsiva 47 6: Journal of Child Neurology ; 24 8: Safety and efficacy of buccal midazolam versus rectal diazepam for emergency treatment of seizures in children: What is the evidence to use new intravenous AEDs in status epilepticus? Caraballo R, Fejerman N. Tratamiento de las Epilepsias. Intravenous valproate in pediatric epilepsy electroconvuleiva with refractory status epilepticus.

Is levetiracetam different from other antiepileptic drugs? Levetiracetam and its cellular mechanism of action in epilepsy revisited.

Revisión del estado epiléptico convulsivo pediátrico y su manejo antiepiléptico

Therapeutic Advances in Neurological Disorders ; 1 1: Epilepsia ; 47 7: Intravenous lacosamide as successful treatment for nonconvulsive status epilepticus after failure of first-line therapy. Epilepsy Behav ; 14 2: Propofol infusion syndrome in patients with refractory status epilepticus: Crit Care Med ; 37 Propofol treatment in adult refractory status epilepticus.

Mortality risk and outcome. Epilepsy Res 1 ; Anesthestic agents and status epilepticus. Nabbout R, Mazzuca M. Efficacy of ketogenic diet in severe refractory status epilepticus initiating fever induced refractory epileptic encephalopathy in school age children FIRES.

Epilepsia ; 51 Outcome of paediatric convulsive status epilepticus: Lancet Neurol ; 5: Recibido el 14 de marzo deaceptado el 4 de septiembre de