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Refractory Status Epilepticus ICU — FRCA Final MCQ

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HardIntensive Care MedicineRefractory Status Epilepticus ICUFRCA Final

Refractory status epilepticus: lorazepam and phenytoin failed. Next step?

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Correct answer: AIV midazolam/propofol/thiopental infusion with continuous EEG

Refractory SE: anaesthetic-dose IV midazolam, propofol, or thiopental + intubation + ventilation + continuous EEG for burst suppression. EEG mandatory — clinical movements may cease while electrical activity continues.

Reference: NICE – 2022 – Epilepsies; SE Guideline Committee – 2023