Case Report

Ketamine Infusion Used to Successfully Control Refractory Status Epilepticus in a Pregnant Patient

Table 1

“The timeline of different antiepileptic medications during ICU stay”.

Therapy in ICU [Day 1-Day 15]

Anesthetics

Dose RangeTherapeutic Monitoring

KetamineDay 3-950 -150 mcg/kg/minN/A

PropofolDay 3-510-40 mcg/kg/minN/A

Maintenance AEDs

Total Daily Dose

LevetiracetamDay 1-153000mg-9000mg18.4-88.9 ug/mL

LacosamideDay 2-15400 mg-500 mg

OxcarbazepineDay 4-15600 mg-800 mg5-10 mcg/mL

ZonisamideDay 7-15600 mg11-29 mcg/mL

Ancillary Therapy

PyridoxineDay 3-1550 mg3 ug/L

Magnesium Sulfate InfusionDay 3-7Maintain serum Mg 3-3.53.1-3.8 mg/dL

IV
Methylprednisolone
Day 4-61000 mgN/A