Today my guests are Trent and Katie Bishop, a CRNA couple who practice independently and live in Durango, Colorado. We’re going to talk about serotonin syndrome and cases that both Trent and Katie have recently experienced as providers in their practice.
Trent has a background in biology and EMS prior to pursuing a career as a critical care Registered Nurse and now as a CRNA. He has prior work experience at level 1 & level 2 trauma centers working in open heart and vascular surgery. He currently enjoys working as a independent CRNA in a small surgical hospital in Durango, Colorado. One of the things he has truly come to love about anesthesia in a rural environment is seeing his patients out in the community and knowing he did a small thing to make their lives better.
Katie has been a Registered Nurse since 2004 when she started out working on a high acuity inpatient floor before transitioning to the medical ICU in 2006. She considers it the best experience anyone could have asked for prior to anesthesia as she ran the code team for meany years and floated & worked in other ICUs, as well. She has worked as a CRNA at level 1 & 2 trauma centers for several years. She absolutely loves independent practice and regional anesthesia and is actively engaged in expanding her regional anesthesia practice. She writes, “Aside from loving medicine and anesthesia, I absolutely adore my family and my time with our toddler, Jackson, Trent, and our furbabies (2 dogs and 1 cat). Durango is the best place for us to be with all of the snowboarding, camping, hiking, rafting, and travel. It’s even better when friends and family come to visit.”
References
Altman, C. S., & Jahangiri, M. F. (2010). Serotonin syndrome in the perioperative period. Anesthesia & Analgesia, 110(2), 526-528. doi: 10.1213/ANE.0b013e3181c76be9
Berger, M., Gray, J. A., & Roth, B. L. (2009). The expanded biology of serotonin. Annual review of medicine, 60, 355-366. https://doi.org/10.1146/annurev.med.60.042307.110802
Frazer A, Hensler JG. Serotonin Involvement in Physiological Function and Behavior. In: Siegel GJ, Agranoff BW, Albers RW, et al., editors. Basic Neurochemistry: Molecular, Cellular and Medical Aspects. 6th edition. Philadelphia: Lippincott-Raven; 1999. Available from: https://www.ncbi.nlm.nih.gov/books/NBK27940/
Harper Juanillo, E., Chambliss, LR. (2018). Amniotic Fluid Embolism: Clinical Challenges and Diagnostic Dilemmas. J Pediatric Women’s Healthcare. 1(2): 1012.
Wang, R. Z., Vashistha, V., Kaur, S., & Houchens, N. W. (2016). Serotonin syndrome: preventing, recognizing, and treating it. Cleve Clin J Med, 83(11), 810-7. doi:10.3949/ccjm.83a.15129
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2 replies on “#23 – Serotonin Syndrome with Trent & Katie Bishop, CRNAs”
Not sure that I ever saw Serotonin Syndrome in 40 years…..and glad I didn’t. Not sure I would’ve recognized it though. This was a great podcast. Thanks!
John, thanks for listening and for your comment! I’ve wondered if the acutely delirious, “shivering” post-op patient is just that or perhaps experiencing a mild and transient elevation in serotonin levels. I think there’s a good chance the syndrome goes under diagnosed. Either way, I’m glad severe cases are more rare. Take care! – Jon