Convulsive status epilepticus (CSE) is a frequent and challenging neurological emergency associated with high mortality and morbidity rates. [1,2] The initial management consists in a multi-modal approach combining immediate symptomatic antiepileptic pharmacotherapy guided by seizure refractoriness, prompt etiologic investigations and treatments, and supportive care for systemic complications [3,4]. Thus, about 20% of patients with CSE require pre-hospital mechanical ventilation [5,6], usually because of persistent coma, which may be combined with respiratory distress, refractory seizures, or shock [1].

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