Recurrent metabolic acidosis during high-dose midazolam therapy for refractory status epilepticus

Shalendra Singh, Ankur Khandelwal, Rashmi Datta, Ashutosh Kaushal, Gyaninder Pal SinghIndian Journal of Critical Care Medicine 2018 22(2):119-121 High-dose continuous midazolam therapy has been used successfully for control of refractory status epilepticus. However, normal anion gap (AG) metabolic acidosis, a deleterious complication of this therapy is underrecognized. Even though previously reported in an isolated case report in a pediatric patient, we observed similar complication in an adult patient. Stereotyped normal AG metabolic acidosis along with hypotension developed on two occasions during high-dose continuous midazolam hydrochloride infusion that reverted rapidly following cessation of the infusion.
Source: Indian Journal of Critical Care Medicine - Category: Intensive Care Authors: Source Type: research