BT Ning, CM Zhang, R Lin, YM Tang

Abstract

A 9-year and 8-month old boy suffered from anaphylactic shock induced by cefotaxime. The patient's condition deteriorated after the emergent therapy with epinephrine, high-dose of methylprednisolone and mechanical ventilation. The extracorporeal membrane oxygenation (ECMO) with V-A model was carried out successfully after 4 hours of admission to paediatric intensive care unit. The patient's conditions were getting better after ECMO application with gradual disappearance of the pulmonary oedema and haemorrhage. He was weaned from ECMO after 64 hours and extubated successfully 84 hours later.