{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T12:55:35Z","timestamp":1780059335884,"version":"3.54.0"},"reference-count":7,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100008130","name":"Pusan National University Hospital","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100008130","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Sugammadex (Bridion\u00ae, MSD, Seoul, Republic of Korea) is widely used for neuromuscular blockade reversal at the end of general anesthesia. We report a rare case of refractory cardiac arrest secondary to sugammadex-induced anaphylaxis, successfully managed with extracorporeal cardiopulmonary resuscitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 44-year-old man with no history of cardiovascular disease underwent robotic-assisted partial nephrectomy for a renal mass; 3 min after sugammadex intravenous administration, the patient developed ventricular fibrillation. Advanced cardiac life support was initiated, and the extracorporeal membrane oxygenation (ECMO) team was activated. Venoarterial ECMO was initiated 37 min after cardiac arrest onset. The patient was successfully weaned off the ECMO the following day. During admission, intradermal and ergonovine provocation tests confirmed a hypersensitivity reaction to sugammadex and coronary artery spasm, respectively. The patient was discharged on postoperative day 71, without any neurological sequelae.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This successful extracorporeal cardiopulmonary resuscitation (ECPR) in refractory perioperative cardiac arrest due to sugammadex-induced anaphylaxis, highlights that early ECMO team activation and rapid ECPR implementation may lead to favorable neurological recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591261424676","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T06:30:36Z","timestamp":1778049036000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Successful rescue for anaphylactic shock due to sugammadex using extracorporeal cardiopulmonary resuscitation"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4464-1451","authenticated-orcid":false,"given":"Soojin","family":"Lee","sequence":"first","affiliation":[{"name":"Pusan National University"},{"name":"Pusan National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho Seong","family":"Cho","sequence":"additional","affiliation":[{"name":"Pusan National University"},{"name":"Pusan National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7739-3979","authenticated-orcid":false,"given":"Seunghwan","family":"Song","sequence":"additional","affiliation":[{"name":"Pusan National University"},{"name":"Pusan National University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002562"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2016.69.5.514"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2013.02.022"},{"key":"e_1_3_5_5_2","first-page":"6590101","article-title":"Two cardiac arrests that occurred after the administration of sugammadex: a case of kounis syndrome","volume":"2020","author":"Yanai M","year":"2020","unstructured":"Yanai M, Ariyoshi K. Two cardiac arrests that occurred after the administration of sugammadex: a case of kounis syndrome. Case Rep Emerg Med 2020; 2020: 6590101.","journal-title":"Case Rep Emerg Med"},{"key":"e_1_3_5_6_2","first-page":"622","article-title":"A case of repetitive cardiac arrest due to coronary vasospasm after sugammadex administration","volume":"64","author":"Hoshino K","year":"2015","unstructured":"Hoshino K, Kato R, Nagasawa S, et al. A case of repetitive cardiac arrest due to coronary vasospasm after sugammadex administration. Masui Jpn J Anesthesiol 2015; 64: 622\u2013627.","journal-title":"Masui Jpn J Anesthesiol"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2018.02.036"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12265-021-10195-9"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261424676","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591261424676","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261424676","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T10:16:57Z","timestamp":1778235417000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591261424676"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":7,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/02676591261424676"],"URL":"https:\/\/doi.org\/10.1177\/02676591261424676","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]}}}