• J Clin Anesth · Feb 2013

    Case Reports

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

    • Jennifer J Davis, Nathan S Buck, Jeffrey D Swenson, Ken B Johnson, and Patrick E Greis.
    • Department of Anesthesiology, University of Utah, Salt Lake City, UT 84132, USA. Jennifer.Davis@hsc.utah.edu
    • J Clin Anesth. 2013 Feb 1; 25 (1): 525452-4.

    AbstractA 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.Copyright © 2013 Elsevier Inc. All rights reserved.

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