Controlling seizures in children approaching death can be difficult, and there is limited evidence on best practice. This article, published last year compared current practice against the guidance for seizure management produced by the Association of Paediatric Palliative Medicine (APPM). They reviewed case notes over a 10 year period and found a wide range of pharmacological approaches, often exceeding APPM dose recommendations. Despite this, safe and effective seizure control was possible in all settings.
Harris, N. et al. 2017. Seizure management in children requiring palliative care: a review of current practice. BMJ Supportive & Palliative 2017 published online.
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