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Anesthetic Considerations for the Patient With Cyclic Vomiting Syndrome.

Cyclic vomiting syndrome (CVS) is characterized by intense vomiting, recurrent emergency department visits, and return to usual health status between episodes. This syndrome was first described in 1882 in a case series of pediatric patients, but there is growing understanding that CVS may occur in other age groups. This case report describes a 23-year-old with a history of CVS diagnosed in adolescence presenting for revision of a tibial plateau fracture. The patient underwent general anesthesia and had an uneventful perioperative course. Although not much is known about CVS in patients presenting for surgery, this report reviews the pertinent literature and explores anesthetic implications for patients with this challenging syndrome.