Recognition and management of perioperative serotonin syndrome.

Lisa Wilson, Thomas Rooney, Reginald F Baugh, Belinda Millington

Department of Anesthesia, University of Toledo Medical School, Toledo OH 43614, USA. lisa.wilson@utoledo.edu

American journal of otolaryngology 2012 May-Jun

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Mild forms of serotonin syndrome can potentially be fatal, if not recognized. The increased use of serotonergic agents makes the awareness of its prevalence, various presentations, diagnostic evaluation, and treatment a clinical imperative. It is important to note that serotonin syndrome can only be diagnosed clinically in the presence of 3 clinical criteria: mental status changes, autonomic manifestations, and neuromuscular abnormalities. This case report describes a patient who underwent an uncomplicated closed nasal fracture reduction and subsequently developed serotonin syndrome. Copyright © 2012 Elsevier Inc. All rights reserved.

Citation

Lisa Wilson, Thomas Rooney, Reginald F Baugh, Belinda Millington. Recognition and management of perioperative serotonin syndrome. American journal of otolaryngology. 2012 May-Jun;33(3):319-21