Anesthetic management for child with idiopathic ketotic hypoglycemia: A case report
Anesthesia and Pain Medicine
;
: 162-165, 2010.
Article
in Korean
| WPRIM
| ID: wpr-193389
ABSTRACT
Idiopathic ketotic hypoglycemia (IKH) is the common cause of clinically significant non-diabetic hypoglycemia among children. The cause of IKH is decrease in endogenous glucose production after a prolonged fasting. We report the experience of perioperative management for a six-year-old female child undergoing strabismus surgery with a history of IKH. This patient experienced two episodes of severe hypoglycemia and loss of consciousness caused by prolonged fasting at the age of 31 and 41 months. For elective general anesthesia, children should be restricted from fluid and foods to prevent pulmonary aspiration. Because of higher metabolic rate and larger body surface area-to-weight ratio than adult, pediatric patient are more prone to hypovolemia and hypoglycemia during preoperative fasting period. When the preoperative fasting is inevitable in the child with IKH, anesthesiologist should start the parenteral infusion with dextrose-containing fluid and periodically check blood glucose level during perioperative period.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Unconsciousness
/
Blood Glucose
/
Strabismus
/
Fasting
/
Hypovolemia
/
Perioperative Period
/
Glucose
/
Hypoglycemia
/
Infusions, Parenteral
/
Anesthesia, General
Limits:
Adult
/
Child
/
Female
/
Humans
Language:
Korean
Journal:
Anesthesia and Pain Medicine
Year:
2010
Type:
Article
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