| Anesthetic management of a pediatric patient on a ketogenic diet. | |
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MedLine Citation:
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PMID: 16633775 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Junko Ichikawa; Keiko Nishiyama; Kyoko Ozaki; Misako Ikeda; Yoshitaka Takii; Makoto Ozaki |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of anesthesia Volume: 20 ISSN: 0913-8668 ISO Abbreviation: J Anesth Publication Date: 2006 |
Date Detail:
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Created Date: 2006-04-24 Completed Date: 2006-10-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8905667 Medline TA: J Anesth Country: Japan |
Other Details:
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Languages: eng Pagination: 135-7 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Tokyo Women's Medical University, Tokyo 162-0056, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 |
| Chemical | |
Reg. No./Substance:
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0/Blood Glucose; 0/Ketone Bodies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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