Conclusion
Pediatric cinnamon aspiration leading to severe respiratory failure requiring ECMO has not been previously reported. In our case, we supported the patient with VV-ECMO to allow the lungs to recover while providing repeated directed bronchoalveolar lavages with surfactant administration. The short-term functional outcome at 6 months appears to be good, but our patient needs ongoing evaluations for long-term sequelae. Aspects of our approach warrant consideration when treating severe respiratory failure from the aspiration of cinnamon and similar agents.