ACETS OF INHALATIONAL MIDAZOLAM IN STATUS EPILEPTICUS

Status epilepticus (SE) is a medical emergency associated with significant morbidity and mortality. SE is defined as a continuous seizure lasting morethan 30 minutes, or two or more seizures without full recovery of consciousness between any of them. Early treatment of SE with benzodiazepines,followed if necessary by fosphenytoin administration, is the most widely followed strategy. In developing countries where facilities for assistedventilation are not readily available, it may be helpful to use inhalational midazolam in such settings. It is important to recognize SE and institutetreatment as early as possible to avoid a refractory state. It is equally important to attend to the general condition of the patient and to ensure that thepatient is hemodynamically stable.Keywords: Epilepsy, Nasal route, Midazolam, Inhalational route, Facets