MOURA JUNIOR, D. M.; http://lattes.cnpq.br/7923195635841140; MOURA JUNIOR, Dogival Marrocos.
Abstract:
Introduction: Status epilepticus is a convulsive event lasting more than 30 minutes,
occurring continuously or intermittently, without regaining consciousness. It is a relatively
common neurological emergency in the Pediatric age group and, when it is not treated early, it
is aggressive, bringing serious sequelae, and be potentially fatal. Objective: identify the
more appropriate benzodiazepine in the prehospital treatment in the Pediatric age group and
the best route of administration in this scenario. Method: integrative literature review was
used, searching the PubMed and LILACS database, using the following key words:
“prehospital emergency”, “status epilepticus”, “seizures treatment” and “child” and filtered
articles published between 2006 and 2015. As an outcome, 6 articles emerged from this
search. Results: through the analysis of the evidence found, we were able to establish a direct
correlation between the start time of benzodiazepine use and treatment efficacy. We could
also notice that in an environment such as prehospital, the faster and simpler routes of
administration tend to provide a better result, and that Midazolam by non-IV routes presents
itself as the best alternative. Final considerations: the absence of well-established protocols
in this matter is an important barrier, and the search for new evidence within the prehospital
treatment is necessary for the establishment of a safer clinical conduct.