Objective:
To describe the case of a patient who developed a serotonin syndrome due to a 3,4-methylenedioxymethamphetamine ingestion with electrical storm and refractory cardiac arrest.
Design:
Case report.
Study selection:
ICU of a university hospital.
Patient:
A 22-year-old man transferred to the emergency room with hyperthermia, tremors, and mydriasis presented a cardiac arrest due to ventricular fibrillation.
Interventions:
We implemented extra-corporeal life support combined with vasoactive drugs. Later, he also benefited from renal replacement therapy and mechanical ventilation.
Measurements and main results:
We were able to rapidly regulate our patient's temperature and we weaned all hemodynamic support in the first week of hospitalisation.
Conclusion:
Extracorporeal life support has several advantages as part of the management of hemodynamic instability induced by serotonin syndrome.