SCCM Resource Library-Emerging Practices and Updates in Neurocritical Care: What an Intensivist Needs to Know

Video Transcription

Video Summary

Dr. Neeta Gayage, a neurointensivist from the Icahn School of Medicine at Mount Sinai, discusses the latest clinical consensus and guidelines for managing seizures and status epilepticus in the ICU. Seizures are transient occurrences of abnormal neuronal activity and account for about 1 million ED visits each year. Status epilepticus is defined as seizures lasting five minutes or longer, recurrent seizures without return to baseline, or continuous clinical or electrographic activity. It is important to recognize and treat seizures early to prevent the development of status epilepticus. Initial therapy includes administering appropriate doses of antiepileptic drugs (AEDs) such as lorazepam, midazolam, or valproic acid. Second-line agents can be considered if seizures persist, and third-line agents may be needed for refractory cases. The choice of sedation and monitoring drug levels is also important. Dr. Gayage also mentions the new onset refractory status epilepticus (NORSE) and highlights a treatment algorithm for refractory status epilepticus.

Asset Subtitle

Neuroscience, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives

Apply the latest clinical consensus and literature regarding evaluation and management of seizures and status epilepticus in the ICU
Evaluate patients in the ICU who have altered mental status and differentiate among acute neurologic emergencies
Determine better clinical decisions for managing patients with intracranial hemorrhage and decisions regarding anticoagulation or reversal in patients with brain bleeds

Seizures and Status Epilepticus: The Shakes and Bakes in the ICU
Neha S. Dangayach

Meta Tag

Content Type Presentation

Knowledge Area Neuroscience

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Seizure

Year 2021

Keywords

neurointensivist

seizures

status epilepticus

ICU

antiepileptic drugs

NORSE

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