Intranasal Lorazepam Is an Acceptable Alternative To Intravenous Lorazepam In The Control Of Acute Seizures In Children
- Report By: Anna Allan, Jayne Cullen - Final Year Medical Students
- Search checked by Dr Adrian Boyle - Emergency Department Consultant
- Institution: University of Cambridge School of Clinical Medicine, Cambridge, UK
- Date Submitted: 2nd December 2011
- Date Completed: 30th August 2013
- Last Modified: 30th August 2013
-
Status:
Green (complete)
Three Part Question
In [children presenting to the ED with seizures] is [intranasal Lorazepam an acceptable intervention] for achieving [termination of seizures]?Clinical Scenario
A 4 year old child is brought to the Emergency Department by her parents. She presents with protracted seizures. It proves difficult to gain intravenous access for administration of IV Lorazepam, which is the standard of care. You wonder whether intranasal administration of Lorazepam may be an acceptable alternative.Search Strategy
PubMed using MeSH databaseSearch terms “Seizures” [Mesh] AND “Lorazepam” [Mesh] AND (intranasal OR intravenous)