Air Embolism Associated with Irrigation of External Fixator Pin Sites with Hydrogen Peroxide: A Report of Two Cases

Journal of Bone and Joint Surgery

Volumn 86, Issue 4, 2004, Pages 821-822

  Henley, Noel ^a   Carlson, DuWayne A ^b   Kaehr, David M ^b   Clements, Brittany ^b  

^a INDIANA UNIVERSITY   (United States)

^b Orthopaedics Indianapolis   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HYDROGEN PEROXIDE;

ADULT; AIR EMBOLISM; ANKLE FRACTURE; ARTICLE; CASE REPORT; FEMALE; FRACTURE EXTERNAL FIXATION; HUMAN; LAVAGE; MALE; PATHOPHYSIOLOGY; PELVIS FRACTURE; PRIORITY JOURNAL;

EID: 1842578535     PISSN: 00219355     EISSN: None     Source Type: Journal    
DOI: 10.2106/00004623-200404000-00023     Document Type: Article

References (14)

1. Kaysinger KK, Nicholson NC, Ramp WK, Kellam JF. Toxic effects of wound irrigation solutions on cultured tibiae and osteoblasts. J Orthop Trauma. 1995;9:303-11.
2. Morikawa H, Mima H, Fujita H, Mishima S. Oxygen embolism due to hydrogen peroxide irrigation during cervical spinal surgery. Can J Anaesth. 1995;42:231-3.
3. Neff SP, Zulueta L, Miller R. Hydrogen peroxide: an unusual cause of arterial and venous gas embolism. Anaesthesia. 1996;51:683-4.
4. Muth CM, Shank ES. Gas embolism. N Engl J Med. 2000;342:476-82.
5. Lynch JJ, Schuchard GH, Gross CM, Wann LS. Prevalence of right-to-left atrial shunting in a healthy population: detection by Valsalva maneuver contrast echocardiography. Am J Cardiol. 1984;53:1478-80.
6. Dubey PK, Singh AK. Venous oxygen embolism due to hydrogen peroxide irrigation during posterior fossa surgery. J Neurosurg Anesthesiol. 2000;12:54-6.
7. Haller G, Faltin-Traub E, Faltin D, Kern C. Oxygen embolism after hydrogen peroxide irrigation of a vulvar abscess. Br J Anaesth. 2002;88:597-9.
8. Sleigh JW, Linter SP. Hazards of hydrogen peroxide. Br Med J (Clin Res Ed). 1985;291:1706.
9. Tsai SK, Lee TY, Mok MS. Gas embolism produced by hydrogen peroxide irrigation of an anal fistula during anesthesia. Anesthesiology. 1985;63:316-7.
10. Giberson TP, Kern JD, Pettigrew DW 3rd, Eaves CC Jr, Haynes JF Jr. Near-fatal hydrogen peroxide ingestion. Ann Emerg Med. 1989;18:778-9.
11. Christensen DW, Faught WE, Black RE, Woodward GA, Timmons OD. Fatal oxygen embolization after hydrogen peroxide ingestion. Crit Care Med. 1992;20:543-4.
12. Sherman SJ, Boyer LV, Sibley WA. Cerebral infarction immediately after ingestion of hydrogen peroxide solution. Stroke. 1994;25:1065-7.
13. Luu TA, Kelley MT, Strauch JA, Avradopoulos K. Portal vein gas embolism from hydrogen peroxide ingestion. Ann Emerg Med. 1992;21:1391-3.
14. Mehta M, Sokoll MD, Gergis SD. Effects of venous air embolism on the cardiovascular system and acid base balance in the presence and absence of nitrous oxide. Acta Anaesthesiol Scand. 1984;28:226-31.