Challenging anesthesia of the patient on ketogenic diet therapy scheduled for scoliosis surgery under motor evoked potentials monitoring: a case report

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F23%3A00078311" target="_blank" >RIV/65269705:_____/23:00078311 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/23:00131447

Result on the web

<a href="https://link.springer.com/article/10.1007/s00540-023-03226-z" target="_blank" >https://link.springer.com/article/10.1007/s00540-023-03226-z</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00540-023-03226-z" target="_blank" >10.1007/s00540-023-03226-z</a>

Result language

angličtina

Original language name

Challenging anesthesia of the patient on ketogenic diet therapy scheduled for scoliosis surgery under motor evoked potentials monitoring: a case report

Original language description

Although propofol represents a &quot;gold standard&quot; from anesthetic drugs for total intravenous anesthesia (TIVA) with intraoperative neurophysiological monitoring (IONM), the anesthetic team should have an alternative plan in rare cases when the propofol is contraindicated, and remimazolam, a new ultra-short-acting benzodiazepine, is not available [1, 2]. We describe a patient suffering from glucose transporter type 1 deficiency syndrome (Glut1DS) with the history of epilepsy treated by ketogenic diet therapy (KDT) scheduled for scoliosis surgery under IONM. The prolonged propofol administration was contraindicated due to high doses of carbohydrates contained in propofol that may worsen epilepsy. In rare cases, prolonged propofol infusion can lead to propofol infusion syndrome (PRIS) in patients on KDT, and that is why anesthetic team has to prepare an alternative management to allow quality IONM

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30223 - Anaesthesiology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Anesthesia

ISSN

0913-8668

e-ISSN

1438-8359

Volume of the periodical

37

Issue of the periodical within the volume

5

Country of publishing house

JP - JAPAN

Number of pages

3

Pages from-to

815-817

UT code for WoS article

001045109800001

EID of the result in the Scopus database

2-s2.0-85167341613