Nickel B, Schmickaly R
Anaesthesist. 1985 Sep;34(9):462-9.
A report is given on the clinical trial of the ultra-short-acting hypnotic etomidate for treatment of withdrawal delirium with special reference to delirium tremens. Severe and disturbing side-effects such as myoclonic movements or seizures with equivalent EEG changes compelled discontinuance of the therapy in five of seven patients. The activation of epileptogenic activity in the treatment of delirium tremens by etomidate long-term-infusions and the lack of international experience in this field do not support the use of etomidate as an anticonvulsive agent.
本文报告了超短效催眠药依托咪酯治疗戒断谵妄(特别是震颤谵妄)的临床试验。严重且令人不安的副作用,如肌阵挛运动或伴有脑电图等效变化的癫痫发作,迫使7名患者中的5名中断治疗。依托咪酯长期输注治疗震颤谵妄时会激活致痫活性,且该领域缺乏国际经验,因此不支持将依托咪酯用作抗惊厥药物。