A possible perianesthetic serotonin syndrome related to intrathecal fentanyl.
Serotonin syndrome occurs with selective serotonin reuptake inhibitors, opioids, and other serotonergic agents. We describe a possible serotonin syndrome related to intrathecal fentanyl in a patient taking multiple drugs and substances such as ergot alkaloids, marijuana, methylenedioxy-N-methylamphetamine, and ephedrine.
Ozkardesler
Sevda
S
Department of Anesthesiology and Reanimation, School of Medicine, Dokuz Eylül University, 35340 Izmir, Turkey.
Gurpinar
Tugba
T
Akan
Mert
M
Koca
Ugur
U
Sarikaya
Huriye
H
Olmez
Tulay
T
Elar
Zahide
Z
D000328:Adult; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000009:adverse effects*; D004809:Ephedrine / Q000009:adverse effects; D004876:Ergot Alkaloids / Q000009:adverse effects; D005283:Fentanyl / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007278:Injections, Spinal; D008297:Male; D008385:Marijuana Smoking / Q000009:adverse effects; D018817:N-Methyl-3,4-methylenedioxyamphetamine / Q000009:adverse effects; D020230:Serotonin Syndrome / Q000139:chemically induced* / Q000628:therapy; D019966:Substance-Related Disorders / Q000150:complications*; D016896:Treatment Outcome
D000701:Analgesics, Opioid; D004876:Ergot Alkaloids; D004809:Ephedrine; D018817:N-Methyl-3,4-methylenedioxyamphetamine; D005283:Fentanyl