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Old 07-28-2012
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Question When to intubate Status Epilepticus?

If the pt is experiencing seizure for the first time and comes in with status epilepticus, you gave lorazepam but he is not responding...when would it be appropriate to intubate him? Will this be the nest step in Mx or giving him phenytoin? We are assuming here that he is not cyanotic....not yet a least.
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I think for exam purpose you only intubate once you have tried Lorazepam & Phenytoin . After that you have to intubate once you have to given phenobarbital since that will cause respiratory depression.
You have to. of course, intubate if you are considering propofol and paralysis for therapeutic coma.
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Quote:
Originally Posted by Novobiocin View Post
I think for exam purpose you only intubate once you have tried Lorazepam & Phenytoin . After that you have to intubate once you have to given phenobarbital since that will cause respiratory depression.
You have to. of course, intubate if you are considering propofol and paralysis for therapeutic coma.
UW mentions that you must intubate once pt becomes cyanotic.
But are you saying that Intubation is needed before or after barbs?
Kaplan had it just before Propofol or Midazolam
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Quote:
Originally Posted by usmledee View Post
UW mentions that you must intubate once pt becomes cyanotic.
But are you saying that Intubation is needed before or after barbs?
Kaplan had it just before Propofol or Midazolam
You have to follow the ABC's as therapy for SE is individualized for every patient. So, of course, you have to intubate if the patient is cyanotic or once he/she develops respiratory depression after giving pheno.
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