Midazolam versus diazepam for the treatment of status epilepticus in pediatric emergency <br><b>Abstract in English</b>

Authors

  • Janete de Lourdes Portela PUCRS
  • Jefferson Pedro Piva PUCRS

Keywords:

EPILEPSY/drug therapy, ANTICONVULSANTS/administration & dosage, MIDAZOLAM, DIAZEPAM, EMERGENCIES, EMERGENCY SERVICE, HOSPITAL, PEDIATRICS, CHILD, PRESCHOOL, INFANT.

Abstract

AIMS: To conduct a review article evaluating midazolam administered by different routes as well as diazepam administered through intravenous and rectal route for treating status epilepticus in children. SOURCE OF DATA: Bibliographic search was conducted on Google Scholar, LILACS, PubMed and SciELO databases, using the key words status epilepticus, seizure, benzodiazepines, midazolam, diazepam, children. SUMMARY OF FINDINGS: Rapid onset treatment of status epilepticus is associated with better results. Diazepam has been the first-line treatment in the last 30 years, despite of known difficulties of venipuncture in infants. Midazolam appears to be an important advance for the quick seizure emergency treatment for its ease administration and rapid action. The ideal drug and route of administration for seizure control in these situations remain uncertain. CONCLUSIONS: If intravenous access is not available, there is evidence that intramuscular, oral or nasal midazolam can be an alternative to diazepam (rectal or intravenous) for treatment of seizures in pediatric emergency.

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Author Biographies

Janete de Lourdes Portela, PUCRS

Janete de Lourdes Portela1, Jefferson Pedro Piva2 1- Mestranda do Programa de Pós-graduação em Pediatria e Saúde da Criança, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS). Enfermeira do Pronto Socorro Pediátrico do Hospital Universitário de Santa Maria-RS 2- Professor do Curso de Pós-graduação em Pediatria e Saúde da Criança da PUCRS. Chefe Associado da Unidade de Tratamento Intensivo Pediátrico do Hospital São Lucas da PUCRS.

Jefferson Pedro Piva, PUCRS

2- Professor do Curso de Pós-graduação em Pediatria e Saúde da Criança da PUCRS. Chefe Associado da Unidade de Tratamento Intensivo Pediátrico do Hospital São Lucas da PUCRS.

Published

2011-12-05

How to Cite

Portela, J. de L., & Piva, J. P. (2011). Midazolam versus diazepam for the treatment of status epilepticus in pediatric emergency <br><b>Abstract in English</b>. Scientia Medica, 21(4), 184–190. Retrieved from https://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/view/9176

Issue

Section

Review Articles

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