THE CONTEXT
The passage describes treatment for status eclampticus, escalation when treatment fails, and indications for intubation.
Thiopentone administration
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Thiopentone sodium 0.5 g is dissolved in 20 mL of 5% dextrose and administered intravenously very slowly.
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The procedure should be supervised by an expert anesthetist.
Escalation in unresponsive cases
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If the procedure fails, complete anesthesia, a muscle relaxant and assisted ventilation may be employed.
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In unresponsive cases, cesarean section in ideal surroundings may be a lifesaving attempt.
Indications for intubation
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Indications include persistent unconsciousness in the post-seizure period, signs of aspiration, persistent hypoxia and uncontrolled seizures.