Management of Cardiac Arrest following Anaphylactic Reaction to Cisatracurium Using Extracorporeal Membrane Oxygenation
10.4266/kjccm.2015.30.1.42
- Author:
Dae Sung MA
1
;
Tae Hyun KIM
;
Min Ae KEUM
;
Dong Kwan KIM
;
Suk Kyung HONG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Gachon University Gil Hospital, Gachon University, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
anaphylaxis;
cisatracurium;
extracorporeal membrane oxygenation
- MeSH:
Aged;
Anaphylaxis;
Cardiopulmonary Resuscitation;
Extracorporeal Membrane Oxygenation;
Heart Arrest;
Humans;
Mortality;
Neuromuscular Blocking Agents;
Perioperative Period
- From:The Korean Journal of Critical Care Medicine
2015;30(1):42-45
- CountryRepublic of Korea
- Language:English
-
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.
