Patients in Group 1 were given 0,2 mg,kg of intramuscular midazolam for control of seizures and time interval from administration of midazolam to cessation of seizures was noted. Seizures if not effectively controlled may lead to status epilepticus, cat diazepam brain ischemia and neuronal damage. In the present study, intramuscular midazolam is effective for controlling seizures in all age groups that was statistically significant which again signifies that it may cat diazepam be effective in all children irrespective of age. It was also found that time interval to cessation of seizures was faster with intramuscular midazolam as compared to intravenous diazepam as time was consumed in putting an intravenous line in patients receiving diazepam as statistical significance was found only in patients without prior IV access. Patients with febrile convulsions had statistically faster control of seizures with IM midazolam as compared to IV diazepam without IV access p0,001, t185,3. It was considered logical, therefore, to evaluate the combination of diazepam and propranolol cat diazepam in controlling the spasms. Patients who had received other anticonvulsants for treatment of acute seizure were excluded from the study. The past history revealed that the patient had suffered three myocardial infarctions last attack 22 years earlier and had been asymptomatic since then. Cat diazepam time interval from administration of drug to cessation of seizures was compared. In the present study, we found intramuscular midazolam was effective in controlling seizures which was similar to those reported in other studies. 3 It is not always easy to identify problem patients. The results are presented cat diazepam in Table. For a seriously disturbed patient, haloperidol is a useful drug 0,5 tp 5,0 mg BD. Since no anticonvulsant can be considered as ideal, various anticonvulsants have been tried singly or in combination in the treatment of tetanus. Group C received diazepam as in Group A and also propranolol in the dose ranging from 20-120 mg daily in four divided doses orally; cat diazepam in a few cases it was given intravenously. Of these, 3 cases belonged to grade IV and 7 to grade III. Patients with evidence of respiratory distress and cyanosis were given oxygen and tracheostomy was cat diazepam performed only in a few cases as an emergency.
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