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Comparison of intranasal and intravenous diazepam on status epilepticus in stroke patients: a retrospective cohort study.

Abstract
Administering diazepam intravenously or rectally in an adult with status epilepticus can be difficult and time consuming. The aim of this study was to examine whether intranasal diazepam is an effective alternative to intravenous diazepam when treating status epilepticus. We undertook a retrospective cohort study based on the medical records of 19 stroke patients presenting with status epilepticus to our institution. We measured the time between arrival at the hospital, the intravenous or intranasal administration of diazepam, and the seizure termination. Intranasal diazepam was administered about 9 times faster than intravenous diazepam (1 vs 9.5 minutes, P = 0.001), resulting in about 3-fold reduction in the time to termination of seizure activity after arrival at the hospital (3 minutes compared with 9.5 minutes in the intravenous group, P = 0.030). No adverse effects of intranasal diazepam were evident from the medical records. Intranasal diazepam administration is safer, easier, and quicker than intravenous administration.
AuthorsRyota Inokuchi, Naoko Ohashi-Fukuda, Kensuke Nakamura, Tomoki Wada, Masataka Gunshin, Yoichi Kitsuta, Susumu Nakajima, Naoki Yahagi
JournalMedicine (Medicine (Baltimore)) Vol. 94 Issue 7 Pg. e555 (Feb 2015) ISSN: 1536-5964 [Electronic] United States
PMID25700327 (Publication Type: Journal Article)
Chemical References
  • Anticonvulsants
  • Diazepam
Topics
  • Administration, Intranasal
  • Administration, Intravenous
  • Aged
  • Aged, 80 and over
  • Anticonvulsants (administration & dosage, therapeutic use)
  • Diazepam
  • Female
  • Humans
  • Male
  • Middle Aged
  • Retrospective Studies
  • Status Epilepticus (drug therapy, etiology)
  • Stroke (complications)
  • Time Factors

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