title: Successful extracorporeal resuscitation after perioperative anaphylactic shock during living donor liver transplantation.
abstract: A 46-year-old man was admitted for emergent donor hepatectomy. His circulatory condition became unstable 75 minutes after induction and then deteriorated to ventricular fibrillation due to latex-induced anaphylaxis. Following 35 minutes of futile conventional resuscitation without spontaneous cardiac rhythm, extracorporeal resuscitation was initiated and electric cardiac activity returned 10 minutes later. He was discharged home without any sequelae. Extracorporeal cardiopulmonary resuscitation would offer an alternative choice compared with conventional cardiopulmonary resuscitation.
authors.affiliation: Department of Anesthesiology, Taichung Veterans General Hospital, Taichung, Taiwan.
authors.forename: Shang-Yi
authors.initials: SY
authors.lastname: Lee
authors.affiliation: Department of Anesthesiology, Taichung Veterans General Hospital, Taichung, Taiwan.
authors.forename: Che-Chia
authors.initials: CC
authors.lastname: Chang
authors.affiliation: Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
authors.forename: Cheng-Ming
authors.initials: CM
authors.lastname: Peng
authors.affiliation: Department of Cardiovascular Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
authors.forename: Yung-Kai
authors.initials: YK
authors.lastname: Lin
authors.affiliation: Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Medicine, Chung Shan Medical University, Taichung, Taiwan. Electronic address: sbc@vghtc.gov.tw.
authors.forename: Shao-Bin
authors.initials: SB
authors.lastname: Cheng
authors.affiliation: Department of Anesthesiology, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Surgery, National Yang-Ming University School of Medicine, Taipei, Taiwan. Electronic address: shench07@gmail.com.
authors.forename: Ching-Hui
authors.initials: CH
authors.lastname: Shen
mesh_terms: D000707:Anaphylaxis / Q000209:etiology / Q000628:therapy*; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000628:therapy*; D020315:Latex Hypersensitivity / Q000150:complications* / Q000175:diagnosis; D016031:Liver Transplantation / Q000379:methods; D019520:Living Donors; D008297:Male; D008875:Middle Aged
keywords: anaphylaxis; extracorporeal life support; latex hypersensitivity; liver transplantation; living donor