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Underdosing of Benzodiazepines in Patients With Status Epilepticus Enrolled in Established Status Epilepticus Treatment Trial

Sathe, A; Tillman, H; Coles, LD; Elm, JJ; Silbergleit, R; Chamberlain, J; Kapur, J; Cock, HR; Fountain, NB; Shinnar, S; et al. Sathe, A; Tillman, H; Coles, LD; Elm, JJ; Silbergleit, R; Chamberlain, J; Kapur, J; Cock, HR; Fountain, NB; Shinnar, S; Lowenstein, DH; Conwit, RA; Bleck, TP; Cloyd, JC (2019) Underdosing of Benzodiazepines in Patients With Status Epilepticus Enrolled in Established Status Epilepticus Treatment Trial. ACADEMIC EMERGENCY MEDICINE, 26 (8). pp. 940-943. ISSN 1069-6563 https://doi.org/10.1111/acem.13811
SGUL Authors: Cock, Hannah Rutherford

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Abstract

Benzodiazepines, including diazepam (DZP), lorazepam (LZP), and midazolam (MDZ), are considered the initial drugs of choice for status epilepticus (SE) treatment. A number of trials have demonstrated their safety and efficacy; however, the failure rate ranges from 10‐55%.1,2 This may be attributable, in part, to sub‐optimal benzodiazepine dosing and timing of administration. The Neurocritical Care Society (NCS) and American Epilepsy Society (AES) have published evidence‐based guidelines for benzodiazepine use in SE that specify drugs, doses, and routes of administration.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Sathe, A. G., Tillman, H. , Coles, L. D., Elm, J. J., Silbergleit, R. , Chamberlain, J. , Kapur, J. , Cock, H. R., Fountain, N. B., Shinnar, S. , Lowenstein, D. H., Conwit, R. A., Bleck, T. P. and Cloyd, J. C. (2019), Underdosing of Benzodiazepines in Patients with Status Epilepticus Enrolled in Established Status Epilepticus Treatment Trial. Academic Emergency Medicine 2019; 26: 940– 943, which has been published in final form at [https://doi.org/10.1111/acem.13811. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Keywords: 1103 Clinical Sciences, 1117 Public Health And Health Services, Emergency & Critical Care Medicine
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Clinical Education (INMECE )
Journal or Publication Title: ACADEMIC EMERGENCY MEDICINE
ISSN: 1069-6563
Dates:
DateEvent
12 August 2019Published
18 July 2019Published Online
26 May 2019Accepted
Publisher License: Publisher's own licence
Projects:
Project IDFunderFunder ID
U01NS088034National Institute of Neurological Disorders and Strokehttp://dx.doi.org/10.13039/100000065
U01NS088023National Institute of Neurological Disorders and Strokehttp://dx.doi.org/10.13039/100000065
U01NS056975National Institute of Neurological Disorders and Strokehttp://dx.doi.org/10.13039/100000065
U01NS059041National Institute of Neurological Disorders and Strokehttp://dx.doi.org/10.13039/100000065
R01NS099653National Institute of Neurological Disorders and Strokehttp://dx.doi.org/10.13039/100000065
URI: https://openaccess.sgul.ac.uk/id/eprint/110886
Publisher's version: https://doi.org/10.1111/acem.13811

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