What is involved in the management of the status of epilepticus in children?
Epilepticus status is a continuous varicose event or a series of convulsions without recovery between events. In children under the age of five, such as adults, epilepticus status has the same overall safety and stabilization objectives in the medical environment. However, infants and children are much more susceptible to convulsions and these events can occur spontaneously or before diagnosis of seizure disorder. Always a scary event, the status of epilepticus in children and infants may be particularly provoking anxiety and can often lead to poor judgment by the parent or carer. This situation is a medical emergency and requires immediate skills and care for rescuers and other emergency respondents to transport a child or child to a local emergency department or medical center, while ensuring the corresponding airways and attempting to obtain intravenous (IV) line.
Ensuring adequate respiratory tract and prevention of hypoxia - low oxygen levels in tissues and brain - is the primary goalEven the treatment of epilepticus status in children. Crying can interrupt brain control over breathing, resulting in apnea or inability to breathe. Continuous muscle tension requires additional oxygen than in a resting state and at the same time reduces blood flow to skeletal muscles. Infants and children are served oxygen to prevent hypoxia either using oxygen cannula, oxygen face masks or inserting the respiratory tube for assisted ventilation. The amount of oxygen in the blood is measured by a pulse oximeter during the patient's first evaluation and during transport to the hospital.
The second main goal in management status epilepticus in children is to interrupt seizure activity. This is best achieved by intravenous (IV) administration of benzodiazepine widávkování based on the weight of the child. In the circumstances where the activity of the seizure makes it difficult to establish patents IV. However, IV access remains the primary goal for administering IV drugs for a faster system effecty. All necessary fluids and blood work for laboratory tests can also be administered or downloaded from this site.
The establishment of the reasons for convulsions is another important aspect of management of epilepticus in children. Metabolic disorders, electrolyte imbalances and glucose levels outside levels are considered normal can all cause epilepticus status in children before the condition affects adults. Anticonvulsants will also be administered as Elektroencephalogram (EEG) denotes seizure resolution. Finally, treatment in the intensive care pediatric unit (PICU) will be directed by the cause of the seizure.