自动酿酒综合征与全身麻醉:1例报告。

IF 0.5 A&A Practice Pub Date : 2023-09-01 DOI:10.1213/XAA.0000000000001708

Brandon Key, Caroline M Sawicki, Bryant Cornelius, Gregory Ness, Andrew Herlich, Spencer D Wade

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引用次数: 0

摘要

自动酿酒综合征(ABS)是一种罕见的疾病，在富含碳水化合物的膳食后，乙醇在肠道内由真菌内源性发酵，导致中毒。我们提出一个病例，病人ABS成功地接受全身麻醉的症状智齿拔除。在先前的麻醉中，患者出现术后恶心和呕吐(PONV)和麻醉下的意识。ABS患者可以通过评估肝功能、避免围手术期口服碳水化合物、增加麻醉深度、多模式PONV预防和避免使用广谱抗生素来优化麻醉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Auto-Brewery Syndrome and General Anesthesia: A Case Report.

Auto-brewery syndrome (ABS) is a rare condition in which ethanol is endogenously fermented by fungi in the gut following a carbohydrate-rich meal, resulting in intoxication. We present a case of a patient with ABS successfully undergoing general anesthesia for symptomatic wisdom tooth extraction. During previous anesthetics, the patient had experienced postoperative nausea and vomiting (PONV) and awareness under anesthesia. Patients with ABS can be optimized for anesthesia by assessing hepatic function, avoiding perioperative oral carbohydrates, increasing anesthetic depth, multimodal PONV prophylaxis, and avoidance of broad-spectrum antibiotics.

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.