Ketogenic diet therapy for children with super-refractory status epilepticus in intensive care: International clinical practice recommendations.

Summary

International consensus-based recommendations on using ketogenic diet therapy for children with super-refractory status epilepticus in intensive care. Developed from a literature review and an international survey of dietitians, intensivists, neurologists and nurses, with 30 core statements. Covers patient selection and timing, preparation, dietary prescription, initiation (with a focus on enteral nutrition), monitoring for adverse effects, fine-tuning and weaning. Authors note most recommendations rest on expert agreement given limited published evidence.

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