[General anesthesia with propofol for a pediatric patient on a ketogen…
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J. Saito, N. Kimura, R. Watanuki, H. Nakamura, Y. Yatsu, N. Nagao, et al. (2011). [General anesthesia with propofol for a pediatric patient on a ketogenic diet]. Masui. The Japanese journal of anesthesiology, 60(6), 733-5.
[Abstract]
There are several specific considerations regarding seizure control during the perioperative period in patients who are on a ketogenic diet (KD). A KD is high in fat and low in protein and carbohydrates and has a long history of use for treatment of intractable seizures in children. Maintaining therapeutic ketosis and modifying the acid-base balance are particularly important for preventing seizures in patients on a KD. We report a case in which a 3-year-old boy with seizure was on a KD and scheduled for the treatment of left undescended testis under propofol anesthesia and acetate Ringer administration. Induction and maintaining of anesthesia using propofol was safe and reasonable for a patient on a KD.
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