A 16-year-old girl with generalized anxiety disorder and chronic abdominal pain presented for elective upper endoscopy and colonoscopy. Her medication list included fluoxetine and buspirone. Because of severe preoperative anxiety, 50% nitrous oxide was administered to facilitate intravenous catheter placement. Despite this, the patient was extremely tearful, so general anesthesia was induced with the addition of 8% sevoflurane.
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Δευτέρα 21 Μαρτίου 2016
No laughing matter: nitrous oxide triggers serotonin syndrome in an anxious adolescent
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