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Updated: Oct 15, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Case study: Cinnamon aspiration in a toddler causing severe ARDS requiring surfactant and extracorporeal membrane
Gene Hwan Peir1, Kaitlyn Maureen Boggs2, Pelayia H Soto3
1Division of Critical Care Medicine, Children's National Hospital, Washington, District of Columbia, USA.
Abstract:
As many as 6% of reported cinnamon poisonings cause significant clinical effects, however, descriptions of pulmonary toxicity have not yet been reported. Here, we present a pediatric patient's hospital course following powdered cinnamon aspiration. The early presentation with hypercapnia and lower airways obstruction evolved to hypoxemic respiratory failure and severe pediatric acute respiratory distress syndrome requiring a 7-day course of veno-venous extracorporeal membrane oxygenation, 16 ventilator-days, and three diagnostic and therapeutic bronchoscopies with two applications of surfactant therapy. The sum of these modalities contributed to this patient's survival and subsequent return to respiratory baseline 6 months post-hospitalization.
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