Anesthetic management of a pediatric patient on a ketogenic diet.

Abstract

There are several specific considerations regarding seizure control during the perioperative period in patients who have been placed 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 the 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 changes in the biochemical parameters of a patient with double cortex syndrome who was on a KD and who had been scheduled for the treatment of dental caries under sevoflurane anesthesia and acetate Ringer administration. Inhalation induction with a high concentration of sevoflurane should be reconsidered in view of recent reports describing the epileptogenic potential of sevoflurane.

• Authors: Junko Ichikawa, Keiko Nishiyama, Kyoko Ozaki, Misako Ikeda, Yoshitaka Takii, Makoto Ozaki
• Journal: Journal of anesthesia (J Anesth) Vol. 20 Issue 2 Pg. 135-7 ( 2006) ISSN: 0913-8668 [Print] Japan
• PMID: 16633775 (Publication Type: Case Reports, Journal Article)

Chemical References

• Blood Glucose
• Ketone Bodies

Topics

• Anesthesia
• Blood Glucose
• Child
• Dental Caries (therapy)
• Electroencephalography
• Epilepsy, Tonic-Clonic (diet therapy)
• Humans
• Hydrogen-Ion Concentration
• Ketone Bodies (blood)
• Male
• Preanesthetic Medication
• Seizures (diet therapy)
• Water-Electrolyte Imbalance (metabolism)