If it becomes uncontrollable, you can try propofol, and if that doesn't work you put them on a pentobarbital coma, but you would definitely need an EEG...problem with pentobarbital coma, is that it takes forever to clear the system. There's other drugs that can be tried first too, like Keppra and phenytoin that may help with the seizures, but from experience if the patient continues to be in status then they're gonna need a continuous gtts of something.
If it's twitching because of an anoxic brain injury, then ya, there's really not much you can do for them but do the propofol...but you can't keep someone on propofol for the rest of their life...and as the prior person commented before, it's an indicator of a poor prognosis.
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