From unwitnessed fatality to witnessed rescue: Nonpharmacologic interventions in sudden unexpected death in XXXX .

@entity410 @entity353 @entity944 @entity26 @entity409 @entity772 @entity302 @entity1576 @entity6498
UNASSIGNED: @entity944 ( @entity944 ) @entity353 remains a critical aim in @entity302 care. To date, only aggressive medical and surgical efforts to control @entity410 have been demonstrated to be of benefit. Incomplete understanding of @entity944 mechanisms limits the development of more specific interventions. Periictal @entity409 is implicated in @entity944 ; postictal electroencephalography (EEG) suppression, @entity772 , and immobility may also play a role. Nocturnal supervision is protective against @entity944 , presumably by permitting intervention in the case of a life-threatening event. Resuscitative efforts were implemented promptly in near- @entity944 cases but delayed in @entity944 deaths in the Mortality in Epilepsy Monitoring Unit Study (MORTEMUS) study. Nursing interventions-including repositioning, oral suctioning, and @entity26 administration-reduce @entity410 duration, @entity1576 , and EEG suppression in the @entity302 monitoring unit ( @entity6498 ), but have not been studied in outpatients. Cardiac pacemakers or cardioverter-defibrillator devices may be of benefit in a few select individuals. A role for implantable neurostimulators has not yet been established. @entity410 detection devices, including those that monitor generalized tonic-clonic @entity410 -associated movements or cardiorespiratory parameters, may provide a means to permit timely periictal intervention. However, these and other devices, such as antisuffocation pillows, have not been adequately investigated with respect to @entity944 prevention.
