We thank Dr. Sethi for his interest in our study.1 Current guidelines suggest cessation of electrographic seizures, a burst suppression, or an isoelectric curve as EEG treatment goals for patients with nonanoxic refractory status epilepticus (RSE). One treatment is not preferred over the others.2,3
Our findings do not support that patients with RSE achieving a “complete” burst suppression EEG (≥50% suppression proportion) have better outcomes than patients with “incomplete” burst suppression EEG (≥20% and <50% suppression proportion).
Owing to the limited sample size, the conclusion that burst suppression carries a higher risk for complications than incomplete burst suppression should be considered with caution. Additional studies are needed to provide substantial evidence for the treatment of patients with RSE.
Footnotes
Contributor Information
Urs Fisch, (Basel, Switzerland).
Raoul Sutter, (Basel, Switzerland).
References
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