Consideraciones prácticas sobre epilepsia y manejo anestésico
Journal Title: Revista Eugenio Espejo - Year 2016, Vol 10, Issue 2
Abstract
Epilepsy is a disease characterized by the alteration of brain electrical activity. Epileptic seizures are classified into three groups: partial, generalized and unknown. The diagnosis is established through clinical correlation and electroencephalography. The maintenance antiepileptic treatment depends on the specific type of crisis. The epileptic status constitutes the persistence of a convulsive crisis for more than five minutes (for clinical effects) that requires intensive pharmacological management with benzodiazepines, phenytoin, phenobarbital and other medications. The behavior and management of the anesthetic procedure in the context of a patient with epilepsy requires an adequate preoperative assessment in order to research the existence of comorbidities, characteristics of the seizures, pharmacotherapy received and their interactions with certain anesthetic agents. The administration of those anesthetics that have shown proconvulsivantes effects (etomidato, ketamine, enflurano, sevoflurane, fentanyl, alfentanil, remifentanil, meperidina, among others) should be avoided in epileptic patients. Benzodiazepines, thiopental, propofol (despite its proconvulsive effect in some cases), isofuran, halothane, desflurane, among others are considered as safe anesthetic agents.
Authors and Affiliations
Karen Viviana Sierra Parrales Universidad San Francisco de Quito, Ecuador Daniela Elizabeth Miñaca Rea Universidad San Francisco de Quito, Ecuador Iván Wladimir Galarza Altamirano Universidad San Francisco de Quito, Ecuador
Keywords
Related Articles
- EP ID EP694914
- DOI https://doi.org/10.37135/ee.004.01.09
- Views 200
- Downloads 0
Cuidado de enfermería durante el postoperatorio inmediato
The immediate postoperative period requires systematized and documented nursing care in order to guarantee safety and specific patient care. This research aimed to describe the nursing interventions during the immediate...
Climate change and disability. Reflections
It is important to reflect on the social concern about the effects of climate change on disabled people, due to their natural vulnerability. e level of risk in the face of disasters exacerbated by the deterioration of...
Resilience in students of the nursing professional technical level in a Cuban educational institu-tion
A resilient person shows courage, adaptability, calmness, and flexibility when facing different complex and unfortunate situations, incorporating new strengths. This research aimed to diagnose students' resil...
Antimicrobial photodynamic therapy on Candida albicans on acrylic surfaces of dental prostheses. In vitro study
Species of the genus Candida are frequently found in the oral microbiota of humans. Objective: to compare the antimicrobial effectiveness of photodynamic therapy on Candida albicansstrains on acrylic surfaces f...
Analysis of anxiety in nursing staff during the COVID-19 Pandemic
The nursing staff was at risk of suffering from pathological anxiety during the COVID-19 Pandemic. This research aimed to analyze the predisposing factors of anxiety in 102 nursing staff during the COVID-...