Voizeux Pierre, Lewandowski Romain, Daily Theresa, Ellouze Omar, Bouchot Olivier, Bouhemad Belaïd, Guinot Pierre-Grégoire
Department of Anaesthesia, Dijon University Hospital and University of Dijon, Dijon, France.
Department of Cardiovascular Surgery and University of Dijon, Dijon University Hospital, Dijon, France.
Case Rep Crit Care. 2019 Mar 7;2019:7825915. doi: 10.1155/2019/7825915. eCollection 2019.
To describe the case of a patient who developed a serotonin syndrome due to a 3,4-methylenedioxymethamphetamine ingestion with electrical storm and refractory cardiac arrest.
Case report.
ICU of a university hospital.
A 22-year-old man transferred to the emergency room with hyperthermia, tremors, and mydriasis presented a cardiac arrest due to ventricular fibrillation.
We implemented extra-corporeal life support combined with vasoactive drugs. Later, he also benefited from renal replacement therapy and mechanical ventilation.
We were able to rapidly regulate our patient's temperature and we weaned all hemodynamic support in the first week of hospitalisation.
Extracorporeal life support has several advantages as part of the management of hemodynamic instability induced by serotonin syndrome.
描述一名因摄入3,4-亚甲基二氧甲基苯丙胺而发生血清素综合征，并伴有电风暴和难治性心脏骤停的患者病例。
病例报告。
一所大学医院的重症监护病房。
一名22岁男性因高热、震颤和瞳孔散大被转入急诊室，因室颤发生心脏骤停。
我们实施了体外生命支持并联合使用血管活性药物。后来，他还接受了肾脏替代治疗和机械通气。
我们能够迅速调节患者体温，并在住院第一周撤掉了所有血流动力学支持。
作为血清素综合征所致血流动力学不稳定管理的一部分，体外生命支持有诸多优势。
