表现为患者在丙泊酚和瑞芬太尼全静脉麻醉期间运动的血清素综合征。

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

机构信息

Department of Anesthesiology, University of Utah, Salt Lake City, UT 84132, USA.

出版信息

J Clin Anesth. 2013 Feb;25(1):52-4. doi: 10.1016/j.jclinane.2012.05.002.

DOI:10.1016/j.jclinane.2012.05.002

Abstract

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.

摘要

现介绍 1 例在接受瑞芬太尼和丙泊酚静脉麻醉时出现 5-羟色胺综合征征象的患者。该患者出现下肢阵挛、眼球震颤和出汗。手术时，患者正在接受氟西汀（一种选择性 5-羟色胺再摄取抑制剂）治疗。术中做出 5-羟色胺综合征的推定诊断，并停用所有阿片类药物。他的症状在麻醉后恢复室中得到解决，无不良事件发生。