Thiopentone Induced Paralytic Ileus in Super Refractory Status Epilepticus: Erythromycin to the RescueCorrespondence Address :
Dr. Ajay Prasad Hrishi,
Division of Neuroanaesthesia, Department of Anaesthesiology, 4th Floor, C Block,
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum-695011, Kerala, India.
Neurocritical care, a unique specialty requiring skill and adeptness presents us with many challenging situations. Management of super refractory status epilepticus warrants the use of intravenous anaesthetic agents and along with it comes its various complications such as paralytic ileus which need to be diagnosed accurately and managed appropriately. We report a case of a patient diagnosed with super refractory status epilepticus who developed paralytic ileus because of thiopentone infusion which was refractory to the conventional prokinetic therapy resulting in the decision to initiate Total Parenteral Nutrition (TPN) but responded dramatically to intravenous erythromycin. Hence, we would like to highlight this as an important tool in the armamentarium in paralytic ileus management.
Complex partial seizures, Macrolide, Prokinetic
Karen Ruby Lionel, Ajay Prasad Hrishi. THIOPENTONE INDUCED PARALYTIC ILEUS IN SUPER REFRACTORY STATUS EPILEPTICUS:
ERYTHROMYCIN TO THE RESCUE. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 18 ]; 11:UD01-UD02. Available from
Date of Submission: Jul 18, 2017
Date of Peer Review: Sep 14, 2017
Date of Acceptance: Sep 19, 2017
Date of Publishing: Nov 01, 2017
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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