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Although many medications are used in Advanced life support, the only medication with proven efficacy in pediatric resuscitation is epinephrine. Despite numerous investigations, the optimal dose remains controversial.
The benzodiazepines are some of the most effective drugs in the treatment of acute seizures and status epilepticus. The benzodiazepines most commonly used to treat status epilepticus are diazepam (Valium), lorazepam (Ativan), and midazolam (Versed).All three compounds work by enhancing the inhibition of Î³-aminobutyric acid (GABA) by binding to the benzodiazepine-GABA and barbiturate-receptor complex.orazepam. Lorazepam has emerged as the preferred benzodiazepine for acute management of status epilepticus. 24 [evidence level A, RCT] Lorazepam differs from diazepam in two important respects. It is less lipid-soluble than diazepam, with a distribution half-life of two to three hours versus 15 minutes for diazepam.