ArticleJournal of intensive medicine2026
Assessment of therapeutic management practices in generalized and focal motor status epilepticus: An international survey in French, Belgian, and Swiss intensive care units.
Article in Journal of intensive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
10 authors.
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Abstract
Background: Generalized convulsive status epilepticus (GCSE) is a critical condition that frequently requires intensive care unit (ICU) admission. While there is strong evidence supporting the initial management of GCSE, the optimal approach to refractory status epilepticus (RSE) and focal motor status epilepticus (SE) remains unclear. Continuous electroencephalogram (cEEG) monitoring plays a pivotal role in RSE management. However, data are lacking regarding the availability and practical use of cEEG in ICUs. This study aimed to evaluate the availability of cEEG and the potential limitations to its use in ICUs. We also assessed intensivists' training in electroencephalogram (EEG) interpretation and examined current practices in the management of GCSE, RSE, and focal motor SE within ICUs. Methods: An anonymous online questionnaire was distributed to French-speaking intensivists. The survey collected data on respondent demographics, access to intermittent and cEEG, and therapeutic strategies (including anti-seizure medications [ASMs] and sedatives) for different SE subtypes. Results: A total of 173 intensivists responded between June and August 2024. Only 33.5% of respondents reported access to cEEG ( Conclusion: This study comprehensively explored both therapeutic management and EEG monitoring strategies for SE subtypes in French-speaking ICUs. Significant gaps exist between guidelines and real-life practice, particularly in RSE and focal motor SE management. Improved training, collaboration, and research are essential to optimize outcomes.
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