Calculation and management of ketogenic diet parenteral nutrition in super-refractory status epilepticus.

Autor: Zeng, Ya, Mu, Jie, Zhou, Dong
Předmět:
Zdroj: Acta Epileptologica; 7/11/2022, Vol. 4 Issue 1, p1-9, 9p
Abstrakt: Super-refractory status epilepticus (SRSE) is an important neurological emergency associated with high mortality and morbidity and poses a heavy economic burden on patients. Ketogenic diet parenteral nutrition (KD-PN) is ketogenic diet therapy provided through parenteral administration and may be an adjuvant treatment for these who cannot accept enteral diet. However, the calculation and management of KD-PN presents a challenge for clinicians. This review focuses on the practical aspects of KD-PN therapy for treatment of SRSE, including the dietary composition, potential drug-diet interactions, and monitoring during KD-PN treatment. As with all SRSE treatments, KD-PN has many adverse effects, like hyperlipemia, hepatotoxicity, metabolic acidosis, insufficient ketosis or hyper-ketosis, and propofol infusion syndrome. We summarize monitoring and treatment methods in our review. This review provides some practical aspects for treatment of SRSE. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index