Reply To: Ketamine and Dexmedetomidine for Seizures!
In my clinic we don’t stock as many drugs. My usually approach is Diazepam, Phenobarbital and then Propofol CRI.
Recently I’ve purchased a book where the flowchart for seizures is saying to start with Diazepam, then a bolus of 2-4mg/kg iv propofol titrated to effect to stop motor activity while waiting for Phenobarbital to take effect. I’ve used this protocol and seems to work and to be less shocking for owners as well especially if we have to gain time for them to take a decision.