Curriculum Resources

Stage 3 Neuroanaesthesia / Advanced Neurocritical Care

Status Epilepticus

Published on 17 March, 2022

Last modified on March 25th, 2022

Curriculum Reference

13.11.7 Manages the resuscitation, stabilisation and transfer of patients with acute neurological deterioration.

HiLLO 12: Doctors specialising in Intensive Care Medicine understand the special needs of, and are competent to manage patients with neurological diseases, both medical and those requiring surgery, which will include the management of raised intracranial pressure, central nervous system infections and neuromuscular disorders.

SSM NICU: Can recognise, resuscitate and initiate treatment of the patient with acute neurological injury, having an enhanced understanding of the specific neuropathophysiologies. They will be able to institute advanced pharmacological and physical therapeutic interventions, and continue ongoing diagnostic and disease management strategies, including multi-organ support.

Review Articles

Anti-N-methyl-d-aspartate receptor encephalitis: A primer for acute care healthcare professionals

A pragmatic approach to intravenous anaesthetics and electroencephalographic endpoints for the treatment of refractory and super-refractory status epilepticus in critical care

Further Reading (incl. Key Trials)

Intramuscular versus Intravenous Therapy for Prehospital Status Epilepticus | NEJM

National Guidance/Standards

NICE Guidance – Overview | Epilepsies: diagnosis and management

Neurocritical care society guidelines – Guidelines for the Evaluation and Management of Status Epilepticus

Online Resources

Southampton Oxford Retrieval Team (SORT): “Treatment of Prolonged Paediatric Seizures”

RCoA Audit Compendium

FICM Standard

Adult patients with refractory convulsive status epilepticus must be admitted to critical care and have EEG monitoring established; the primary endpoint of treatment being the suppression of epileptic activity on EEG.


10/5/2019 9.30 Epilepsy in NICU outcomes from refractory status

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