Friday, November 25, 2016

A note on confusion between Myoclonus and seizure after Etomidate administration

Administration of etomidate  during intubation may cause myoclonus which may be read as seizure episode. Etomidate is unique in the sense that though it decreases cerebral blood flow, it preserves cerebral perfusion pressure. This myoclonus is benign. Most intubated patients go on sedation post-intubation and myoclonus do not recur. Vigilance is required to not to read this myoclonus as seizure and should not require million dollar workup unless clinically indicated. 

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