全身麻醉后恢复延迟：术后诊断难题及重症监护病房对血清素毒性管理的意义。病例报告。
Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report.
作者信息
Naik Asha, Rincon-Aznar Cristobal
机构信息
West Suffolk NHS Foundation Trust, Bury St Edmunds, United Kingdom.
Mediclinic Dubai Mall, Dubai, United Arab Emirates.
出版信息
J Crit Care Med (Targu Mures). 2015 Nov 10;1(4):174-178. doi: 10.1515/jccm-2015-0026. eCollection 2015 Oct.
Abstract
We report a case of delayed recovery from general anesthesia following a routine parathyroidectomy. Our objectives are to describe the process of establishing a differential diagnosis and subsequent management of a patient presenting with atypical neurological signs from an unknown etiology and to increase awareness about the potential for serotonin syndrome and neurotoxicity due to known interactions between methylene blue and selective serotoninnoradrenaline re-uptake inhibitors. ICU management of Serotonin Toxicity is briefly described.
摘要
我们报告了一例常规甲状旁腺切除术后全身麻醉恢复延迟的病例。我们的目的是描述对一名病因不明且出现非典型神经体征的患者进行鉴别诊断和后续治疗的过程，并提高对亚甲蓝与选择性5-羟色胺-去甲肾上腺素再摄取抑制剂之间已知相互作用导致血清素综合征和神经毒性可能性的认识。简要描述了血清素中毒的重症监护病房管理。
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