Korean J Crit Care Med.  2015 Feb;30(1):42-45. 10.4266/kjccm.2015.30.1.42.

Management of Cardiac Arrest following Anaphylactic Reaction to Cisatracurium Using Extracorporeal Membrane Oxygenation

• Ma DS
• Kim TH
• Keum MA
• Kim DK
• Hong SK

• KMID: 2227701
• DOI: http://doi.org/10.4266/kjccm.2015.30.1.42

Abstract

Anaphylactic reaction during the perioperative period typically exhibits rapid onset, varying clinical manifestations, and an expected mortality rate of 1.5-9%. Neuromuscular blocking agents are the leading cause of perioperative anaphylaxis. Here, we report a severe case of anaphylaxis that developed in a 66-year-old man due to cisatracurium administration. And he was successfully managed by extracorporeal membrane oxygenation. Cardiopulmonary resuscitation was performed by extracorporeal membrane oxygenation, and the patient was successfully weaned off 24 hours later.

Keyword

anaphylaxis; cisatracurium; extracorporeal membrane oxygenation

MeSH Terms

Aged
Anaphylaxis*
Cardiopulmonary Resuscitation
Extracorporeal Membrane Oxygenation*
Heart Arrest*
Humans
Mortality
Neuromuscular Blocking Agents
Perioperative Period
Neuromuscular Blocking Agents

Reference

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