title: [General anesthesia with propofol for a pediatric patient on a ketogenic diet].
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.
authors.affiliation: Department of Anesthesiology, Hirosaki University Graduate School of Medicine, Hirosaki 036-8562.
authors.forename: Junichi
authors.initials: J
authors.lastname: Saito
authors.forename: Naomasa
authors.initials: N
authors.lastname: Kimura
authors.forename: Rie
authors.initials: R
authors.lastname: Watanuki
authors.forename: Hitomi
authors.initials: H
authors.lastname: Nakamura
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Yatsu
authors.forename: Nobuko
authors.initials: N
authors.lastname: Nagao
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Hirota
mesh_terms: D000768:Anesthesia, General; D000771:Anesthesia, Intravenous; D002675:Child, Preschool; D003456:Cryptorchidism / Q000601:surgery; D055423:Diet, Ketogenic; D006801:Humans; D008297:Male; D019990:Perioperative Care; D015742:Propofol
chemical_list: D015742:Propofol