Anesthetic care of a child receiving a ketogenic diet
The ketogenic diet (KD) is an alternative or supplemen- tary treatment to medically refractory epilepsy and has been used successfully in pediatric patients for more than 100 years. The high fat, low carbohydrate intake of the KD induces a state of ketosis which may result in anti- convulsant effect...
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| Main Authors: | , |
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| Format: | Book |
| Published: |
Pediatric Anesthesia and Critical Care Journal,
2021-08-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | The ketogenic diet (KD) is an alternative or supplemen- tary treatment to medically refractory epilepsy and has been used successfully in pediatric patients for more than 100 years. The high fat, low carbohydrate intake of the KD induces a state of ketosis which may result in anti- convulsant effects through enhanced neuronal energy re- serves, antioxidant activity, and anti-inflammatory ac- tions. Pediatric patients following the KD for seizure management may require anesthetic care during surgery for various comorbid or associated conditions. Perioperative adherence to the KD remains an integral component of perioperative care to prevent an increase in seizure burden. We present a 14-year-old adolescent on a KD who required anesthetic care during surgical treat- ment of neuromuscular thoracic scoliosis. The basic principles of the KD are reviewed, potential end-organ effects and their impact on anesthetic care discussed, and techniques for general anesthesia presented. |
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| Item Description: | 10.14587/paccj.2021.15 2281-8421 |