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Updated: May 31, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
[General anesthesia with propofol for a pediatric patient on a ketogenic diet]
Junichi Saito1, Naomasa Kimura, Rie Watanuki
1Department of Anesthesiology, Hirosaki University Graduate School of Medicine, Hirosaki 036-8562.
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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