Thiopentone Induced Paralytic Ileus in Super Refractory Status Epilepticus: Erythromycin to the Rescue

Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 11

Abstract

Neurocritical care, a unique specialty requiring skill and adeptness presents us with many challenging situations. Management of super refractory status epilepticus warrants the use of intravenous anaesthetic agents and along with it comes its various complications such as paralytic ileus which need to be diagnosed accurately and managed appropriately. We report a case of a patient diagnosed with super refractory status epilepticus who developed paralytic ileus because of thiopentone infusion which was refractory to the conventional prokinetic therapy resulting in the decision to initiate Total Parenteral Nutrition (TPN) but responded dramatically to intravenous erythromycin. Hence, we would like to highlight this as an important tool in the armamentarium in paralytic ileus management.

Authors and Affiliations

Karen Ruby Lionel, Ajay Prasad Hrishi

Keywords

Related Articles

Myoclonic Seizures and Lactic Acidemia in a Term Newborn Born with No History of Asphyxia

ABSTRACT We here report an unusual case of a term neonate who presented with myoclonic seizures and lactic acidemia at 30 hours of life, who was later on diagnosed as a case of pyridoxine dependant epilepsy. Pyridoxine...

Comparing the Efficacy of Berberine against Sodium Hypochlorite and Chlorhexidine Cetrimide as a Chairside Disinfectant of Gutta Percha Cones

ABSTRACT Introduction: The primary objective in Endodontics has been to disinfect the root canal space, by both mechanical and chemical means. Clinicians rarely give a thought to the fact that contamination can happen fr...

Marital Quality and Erectile Dysfunction among COPD: A Cross-Sectional Study

ABSTRACT Introduction: Erectile Dysfunction (ED) is one of the distressing comorbidities associated with Chronic Obstructive Pulmonary Disease (COPD). There is a paucity of literature on the association of erectile funct...

Bilateral Testicular Metastases from Occult Primary Prostate Cancer in a Young Adult: A Rare Case Report

Testicular metastases are detected incidentally in upto 4% cases after orchiectomy for Prostate Carcinoma (PCa). Most of the secondaries to testes are due to PCa, only few patients have clinically manifested metastases t...

Antiretroviral Therapy under the National Program: Experience of a Single Large Centre in Southern India

ABSTRACT Introduction: The National Aids Control Organization (NACO) has been providing free Antiretroviral Therapy (ART) in India since 2004. Several concerns exist regarding functional outcome, possible low rates of tr...

Download PDF file
  • EP ID EP366958
  • DOI 10.7860/JCDR/2017/31692.10913
  • Views 41
  • Downloads 0

How To Cite

Karen Ruby Lionel, Ajay Prasad Hrishi (2017). Thiopentone Induced Paralytic Ileus in Super Refractory Status Epilepticus: Erythromycin to the Rescue. Journal of Clinical and Diagnostic Research, 11(11), 1-2. https://europub.co.uk/articles/-A-366958