• A&A practice · Sep 2023

    Case Reports

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

    • Brandon Key, Caroline M Sawicki, Bryant Cornelius, Gregory Ness, Andrew Herlich, and Spencer D Wade.
    • From the Department of Hospital Dentistry and Dental Anesthesiology, Stony Brook School of Dental Medicine, Stony Brook, New York.
    • A A Pract. 2023 Sep 1; 17 (9): e01708e01708.

    AbstractAuto-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.Copyright © 2023 International Anesthesia Research Society.

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