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.
Citations
Citations to this article as recorded by
Extracorporeal Life Support use during Severe Anaphylaxis: A Systematic Review and Pooled Analysis of Individual Patient Data Eduardo Saadi Neto, Ronna L. Campbell, Autumn Brogan, Fernanda Bellolio, Aidan F. Mullan, Danielle Gerberi, Nguyen Ba Cuong, Alexander S. Finch Journal of Cardiothoracic and Vascular Anesthesia.2026;[Epub] CrossRef
Venovenous Extracorporeal Membrane Oxygenation After Cardiac Arrest Due to Refractory Anaphylaxis From Nut Ingestion Catherine Yip, Katherine Hickey, Joanne Hojsak, Ariel Brandwein, Shunpei Okochi Critical Care Explorations.2026; 8(4): e1403. CrossRef
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