Propofol-ketamine combination therapy for effective control of super-refractory status epilepticus

Vivek Sabharwal, Eugene Ramsay, Raisa Martinez, Rachel Shumate, Fawad Khan, Hina Dave, Ifeanyi Iwuchukwu, Harold McGrade

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Retrospective analysis was conducted of patients with SRSE who were treated simultaneously with propofol and ketamine. Sixty-seven patients were identified from 2012 to 2015, and outcomes documented were resolution and mortality. The duration of combined ketamine and propofol use ranged from 1 to 28 days (mean - 3.6 days). Infusion rates ranged up to 145 and 175 mcg/kg/min. Vasopressors were used in 53 patients (79%), and were given within the first 5 days of the ICU admission in 48 (91%) patients. The overall SRSE resolution rate was 91%, and the overall mortality including patients with anoxic brain injury was 39%. Of the 13 patients with SRSE as a result of anoxic brain injury, SRSE was controlled in 5 (56%). The primary determinant of mortality was family withdrawing care related to the presence of severe medical/neurological diseases.

Original languageEnglish (US)
Pages (from-to)264-266
Number of pages3
JournalEpilepsy and Behavior
Volume52
DOIs
StatePublished - Nov 1 2015

Keywords

  • Anesthetic agents
  • Ketamine
  • Mortality
  • Propofol
  • Seizure control
  • Super-refractory status epilepticus
  • Treatment

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Behavioral Neuroscience

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    Sabharwal, V., Ramsay, E., Martinez, R., Shumate, R., Khan, F., Dave, H., Iwuchukwu, I., & McGrade, H. (2015). Propofol-ketamine combination therapy for effective control of super-refractory status epilepticus. Epilepsy and Behavior, 52, 264-266. https://doi.org/10.1016/j.yebeh.2015.07.040