Eight-Year Study on the Treatment with Intravenous Midazolam for Status Epilepticus and Clusters of Seizures in Children
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- Minagawa Kimio
- Department of Pediatrics, Hokkaido Children's Hospital and Medical Center
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- Watanabe Toshihide
- Department of Pediatrics, Hokkaido Children's Hospital and Medical Center
Bibliographic Information
- Other Title
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- 小児のけいれん重積およびけいれん群発に対する8年間のmidazolam静注治療成績の検討
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Abstract
Eighty-two episodes of status epilepticus or clusters of seizures in 45 children were treated with intravenous midazolam. Twenty-two children had epilepsy and 23 had acute symptomatic seizures. Midazolam was administered as an intravenous bolus dose at 0.06-0.4 mg/kg (mean 0.173 mg/kg), followed by continuous intravenous infusion at 0.05-0.4 mg/kg/hr (mean 0.191 mg/kg/hr). The mean duration of the treatment was 132.7 hours. Complete arrest of seizures was achieved in 62 episodes, and decrease by more than 50% in seizure frequency in 8 clusters of seizures. In these 70 successfully treated cases (85.4%), the effect appeared within 45 minutes after the initiation of therapy. No severe adverse effects were noted except stridor and mild respiratory suppression in 2 cases. Midazolam is an effective and safe drug to be used in a first-line or second-line therapy for status epilepticus and clusters of seizures in children.
Journal
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- NO TO HATATSU
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NO TO HATATSU 35 (6), 484-490, 2003
THE JAPANESE SOCIETY OF CHILD NEUROLOGY
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Keywords
Details 詳細情報について
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- CRID
- 1390001204553210880
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- NII Article ID
- 10011933202
- 130004183624
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- NII Book ID
- AN0020232X
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- COI
- 1:STN:280:DC%2BD3srlt12htg%3D%3D
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- ISSN
- 18847668
- 00290831
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- PubMed
- 14631744
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- Text Lang
- ja
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- Data Source
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- JaLC
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed