[Severe pulmonary gas embolism caused by intraoperative administration of hydrogen peroxide].
We report the case of a 3 year old boy who developed cardiac arrest during general anesthesia, immediately after the subcutaneous administration of hydrogen peroxide solution. Massive pulmonary embolization was hypothesized as the postoperative ECG showed an acute heart strain. However the occurrence of transient anisocoria, associated with a paresis affecting the left arm, remained unexplained. Since brain MR did not reveal any pathological data, a direct toxicity of hydrogen peroxide on a limited area of the CNS could be assumed.
Ferrari
M
M
Istituto di Ricerca Scientifica, Ospedale Pediatrico Bambino Gesù, Roma.
Catena
S
S
Ferrari
F
F
Bianchi
R
R
Villani
A
A
D002675:Child, Preschool; D004562:Electrocardiography; D004618:Embolism, Air / Q000139:chemically induced*; D006323:Heart Arrest / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D006861:Hydrogen Peroxide / Q000009:adverse effects*; D007431:Intraoperative Complications / Q000139:chemically induced*; D008297:Male; D011655:Pulmonary Embolism / Q000139:chemically induced*
D006861:Hydrogen Peroxide
Grave embolia polmonare gassosa da somministrazione intraoperatoria di acqua ossigenata.