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Posted On : 15 Feb 2013

in emergency management of status epilepticus if anticovulants failed to stop seizure,our doctor said that we can use ventilation,how does hyperventilation stop seizures,what`s the mechanism_?

Expert Answer :

Answer Discussion :

G

ghoody sharafeldeen

0

Hyperventillaton produces Respiratory alkalosis in which there is ca influx into the and thus producing tetany , so i think it will make it worse and the pt may not improve

12 years ago

M

MAHMOUD SAKRAN

0

It washes co2 , causing vasoconstriction

12 years ago

V

vasanthi udeshi

0

increases the blood supply and oxygenation to the brain and hence may regulate the impulses to the brain

12 years ago

S

SAMRUDDHI KHOPKAR

0

hyperventilation will cause co2 washout, thus causing vasoconstriction of cerebral vessels and decreasing cerebral edema resulting in increase in the seizure thresold.

12 years ago

Answer 1

In case of status epilepticus that is uncontrolled, patients may need Midazolam drip or other anticonvuslant drip to control the seires. This may lead to depressed respiration and as a result the patient may need artificial ventilation.

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