“…Its anti-arrhythmic effect is selective and is due to accelerated repolarisation, decrease of the second phase of the transmembrane potential and potentiation of the potassium efflux [6]. Lidocaine has also been successfully used as an anticonvulsant drug in adults since 1955 [19]. The exact mode of action as an anticonvulsive drug is unknown [8].…”
The present study demonstrates that continuous cardiac monitoring of neonates who receive lidocaine for neonatal seizures is indicated, as there is a risk to develop cardiac arrhythmias. Lidocaine should be discontinued immediately when a cardiac arrhythmia occurs. Lidocaine should not be given to patients with a congenital heart disease and to infants who have already been treated with diphantoine.
“…Its anti-arrhythmic effect is selective and is due to accelerated repolarisation, decrease of the second phase of the transmembrane potential and potentiation of the potassium efflux [6]. Lidocaine has also been successfully used as an anticonvulsant drug in adults since 1955 [19]. The exact mode of action as an anticonvulsive drug is unknown [8].…”
The present study demonstrates that continuous cardiac monitoring of neonates who receive lidocaine for neonatal seizures is indicated, as there is a risk to develop cardiac arrhythmias. Lidocaine should be discontinued immediately when a cardiac arrhythmia occurs. Lidocaine should not be given to patients with a congenital heart disease and to infants who have already been treated with diphantoine.
“…There were 10 retrospective studies [14][15][16][17][18][19][20][21]25,26] and 3 prospective studies [22][23][24]. Within the retrospective studies, 6 were retrospective case series [14,15,[17][18][19]25] and the remaining 4 were retrospective case reports [16,20,21,26].…”
Section: Resultsmentioning
confidence: 99%
“…All studies were based at single centers. The 3 prospective studies included in the systematic review were all prospective single arm studies with no control groups [22][23][24].…”
Section: Resultsmentioning
confidence: 99%
“…The country of origin of the manuscripts were as follows: USA [16][17][18]20,25,26], Spain [22,23,25], UK [21,24], Germany [19], India [14], and Sweden [15].…”
Section: Resultsmentioning
confidence: 99%
“…This difference may reflect different stages of brain maturation and thus responsiveness to therapy. Given this, we were curious as to the literature on adult subjects [14][15][16][17][18][19][20][21][22][23][24][25][26]. The goal of our study was to perform a systematic review of the literature to determine the effect of lidocaine on adult SE and RSE.…”
There currently exists level 4, GRADE C evidence to support the consideration of lidocaine for SE and RSE in the adult population. Thus there is currently weak evidence to support the use of lidocaine in this context. Further prospective studies of lidocaine administration in this setting are warranted.
Lorazepam is better than diazepam or phenytoin alone for cessation of seizures and carries a lower risk of continuation of status epilepticus requiring a different drug or general anaesthesia. Both lorazepam and diazepam are better than placebo for the same outcomes. In the treatment of premonitory seizures, diazepam 30 mg in an intrarectal gel is better than 20 mg for cessation of seizures without a statistically significant increase in adverse effects. Universally accepted definitions of premonitory, early, established and refractory status epilepticus are required.
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