Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report

Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report

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 i...

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Main Authors: Naik Asha, Rincon-Aznar Cristobal
Format: Article
Language:English
Published: Sciendo 2015-10-01
Series:The Journal of Critical Care Medicine
Subjects:
serotonin syndrome
neurotoxicity
general anesthesia
Online Access:https://doi.org/10.1515/jccm-2015-0026
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spelling doaj-28d3b2200c9d44f6aaba24124ca90df02021-09-06T19:40:27ZengSciendoThe Journal of Critical Care Medicine2393-18172015-10-011417417810.1515/jccm-2015-0026jccm-2015-0026Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case reportNaik Asha0Rincon-Aznar Cristobal1Dept of anaesthetics, West Suffolk Hospital NHS foundation Trust, Hardwick Lane, Bury St Edmunds IP33 2QZ, UKMediclinic Dubai Mall, Fashion Parking, Level 7, Dubai P.O Box 282890, United Arabs EmiratesWe 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.https://doi.org/10.1515/jccm-2015-0026serotonin syndromeneurotoxicitygeneral anesthesia
collection DOAJ
language English
format Article
sources DOAJ
author Naik Asha
Rincon-Aznar Cristobal
spellingShingle Naik Asha
Rincon-Aznar Cristobal
Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report
The Journal of Critical Care Medicine
serotonin syndrome
neurotoxicity
general anesthesia
author_facet Naik Asha
Rincon-Aznar Cristobal
author_sort Naik Asha
title Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report
title_short Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report
title_full Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report
title_fullStr Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report
title_full_unstemmed Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report
title_sort delayed recovery from general anaesthesia: a post-operative diagnostic dilemma and implications of icu management of serotonin toxicity. case report
publisher Sciendo
series The Journal of Critical Care Medicine
issn 2393-1817
publishDate 2015-10-01
description 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.
topic serotonin syndrome
neurotoxicity
general anesthesia
url https://doi.org/10.1515/jccm-2015-0026
work_keys_str_mv AT naikasha delayedrecoveryfromgeneralanaesthesiaapostoperativediagnosticdilemmaandimplicationsoficumanagementofserotonintoxicitycasereport
AT rinconaznarcristobal delayedrecoveryfromgeneralanaesthesiaapostoperativediagnosticdilemmaandimplicationsoficumanagementofserotonintoxicitycasereport
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