<abstract xmlns="http://www.w3.org/1999/xhtml"><p> 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.</p></abstract>

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.

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

Dept of anaesthetics, West Suffolk Hospital NHS foundation Trust, Hardwick Lane, Bury St Edmunds IP33 2QZ, UK

Mediclinic Dubai Mall, Fashion Parking, Level 7, Dubai P.O Box 282890, United Arabs Emirates

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

We report a case of delayed recovery from general anesthesia following a routine parathyroidectomy. Our objectives are to describe the process of establishing...

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

Published Online: Nov 10, 2015

Page range: 174 - 178

Received: Jun 04, 2015

Accepted: Sep 16, 2015

DOI: https://doi.org/10.1515/jccm-2015-0026

Keywords
serotonin syndrome, neurotoxicity, general anesthesia

© 2015

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

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

Published Online: Nov 10, 2015

Page range: 174 - 178

Received: Jun 04, 2015

Accepted: Sep 16, 2015

DOI: https://doi.org/10.1515/jccm-2015-0026

Keywordsserotonin syndrome, neurotoxicity, general anesthesia

© 2015

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
serotonin syndrome, neurotoxicity, general anesthesia