Serotonin syndrome manifesting as patient movement during total intravenous anesthesia with propofol and remifentanil

被引：14

作者：

Davis, Jennifer J. ^{[1
]}

Buck, Nathan S. ^{[1
]}

Swenson, Jeffrey D. ^{[1
]}

Johnson, Ken B. ^{[1
]}

Greis, Patrick E. ^{[2
]}

机构：

[1] Univ Utah, Dept Anesthesiol, Salt Lake City, UT 84132 USA

[2] Univ Utah, Dept Orthopaed, Salt Lake City, UT 84108 USA

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2013年 / 25卷 / 01期

关键词：

Myoclonus; Opioids; Serotonin syndrome; TOXICITY; FENTANYL;

D O I：

10.1016/j.jclinane.2012.05.002

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A patient who manifested signs of serotonin syndrome during an intravenous anesthetic with remifentanil and propofol is presented. The patient displayed lower extremity clonus, nystagmus, and diaphoresis. At the time of surgery, the patient was being treated with fluoxetine (a selective serotonin reuptake inhibitor). A presumptive diagnosis of serotonin syndrome was made intraoperatively and all opioids were discontinued. His symptoms resolved in the Postanesthesia Care Unit without incident. (c) 2013 Elsevier Inc. All rights reserved.

引用

页码：52 / 54

页数：3

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