title: Recognition and management of perioperative serotonin syndrome.
abstract: 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.
authors: Department of Anesthesia, University of Toledo Medical School, Toledo OH 43614, USA. lisa.wilson@utoledo.edu
authors: Lisa
authors: L
authors: Wilson
authors: Thomas
authors: T
authors: Rooney
authors: Reginald F
authors: RF
authors: Baugh
authors: Belinda
authors: B
authors: Millington
mesh_terms: D000328:Adult; D003533:Cyproheptadine / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation; D050723:Fractures, Bone / Q000150:complications* / Q000601:surgery; D006801:Humans; D009295:Nasal Bone / Q000293:injuries*; D017294:Ondansetron / Q000627:therapeutic use; D019990:Perioperative Care / Q000379:methods*; D012702:Serotonin Antagonists / Q000627:therapeutic use*; D020230:Serotonin Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology
chemical_list: D012702:Serotonin Antagonists; D003533:Cyproheptadine; D017294:Ondansetron