DIAZEPAM IN PEDIATRIC CONVULSION MANAGEMENT: RECTAL VS INTRAVENOUS ADMINISTRATION

Introduction. Convulsion is a dangerous occurrence in pediatric disease that requires immediately intervention. It is one of the common causes of referring children to emergency room and must be controlled as soon as possible for prevention of systemic complications and the brain damages. We compared the effect of intravenous (IV) versus rectal diazepam in control of convulsion in children. Methods. Study group included eighty patients with seizure (from 3 months to 12 years old). Forty patients received rectal diazepam and other ones received diazepam intravenously. Results. The convulsion was controlled with rectal diazepam in less than 5 minutes (N diazepam less than 2 minutes) and this method was not difficult even for parents. Discussion. Control of convulsion less than one minute has no relation to the route of diazepam administration. The important factors for control of seizure are dose of diazepam and the prompt use of it after seizure.