Perioperative management of scoliosis surgery in child with epilepsy on the ketogenic diet: Case report

Maintenance of ketosis is critical throughout the perioperative period to prevent complications including hypoglycemia, seizures, surgical failure, or even mortality in severe cases. At the same time, the use of carbohydrate-free lipid infusion and propofofo-based anesthesia during fasting avoided inadvertent carbohydrate exposure, demonstrating adaptability to perioperative period.