Acute and Critical Care

Case Report

Cardiology/Allergy
Management of Cardiac Arrest following Anaphylactic Reaction to Cisatracurium Using Extracorporeal Membrane Oxygenation: Dae Sung Ma, Tae-Hyun Kim, Min Ae Keum, Dong Kwan Kim, Suk-Kyung Hong; Korean J Crit Care Med. 2015;30(1):42-45. Published online February 28, 2015; DOI: https://doi.org/10.4266/kjccm.2015.30.1.42

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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.

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Case report: management of differential diagnosis and treatment of severe anaphylaxis in the setting of spinal anesthesia
Brian M. Osman, Joni M. Maga, Sebastian M. Baquero
Journal of Clinical Anesthesia.2016; 35: 145. CrossRef

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