KMID : 1155520150100040267
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Anesthesia and Pain Medicine 2015 Volume.10 No. 4 p.267 ~ p.270
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A case of postoperative serotonin syndrome following the administration of fentanyl, palonosetron, and meperidine -A case report-
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Lee Chiu
Kim Eun-Ju Joe Soo-Hyun Ban Jong-Seouk Lee Ji-Hyang An Ji-Hyun
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Abstract
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Serotonin syndrome is an unexpected adverse reaction of serotonergic medication. Some drugs used by anesthesiologists may cause serotonin syndrome. Serotonin syndrome is known to be related to 5-hydroxytryptamine 1A and 5-hydroxytryptamine 2A agonism. However, recent research has revealed evidence that 5-hydroxytryptamine 3 (5-HT3) antagonism can also play a role in serotonin syndrome. Among the 5-HT3 antagonists, palonosetron is the most highly specific. In this study, we present the first case of fentanyl- and meperidine-induced serotonin syndrome precipitated by palonosetron in general anesthesia.
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KEYWORD
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Fentanyl, Meperidine, Palonosetron, Serotonin, Serotonin syndrome
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