The absence of arterial oxygen desaturation during massive oxygen embolism after hydrogen peroxide irrigation.
For decades, water-mill murmur, decrease in end-tidal CO(2) (Petco(2)), hypotension, and hypoxemia have been accepted as diagnostic criteria for gas embolism. In this case report, a 19-yr-old male patient developed a sudden reduction in Petco(2) and profound circulatory collapse 15 min after intramedullary irrigation with H(2)O(2). However, arterial oxygen desaturation never developed throughout the entire course of resuscitation from presumed massive oxygen embolism.
Sun
Wei-Zen
WZ
*Department of Anesthesiology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan; and †Department of Anesthesiology, University of Washington, Seattle, Washington.
Lin
Chin-Shuang
CS
Lee
Andy A
AA
Chan
Wei-Hung
WH
D000328:Adult; D002245:Carbon Dioxide / Q000378:metabolism; D004618:Embolism, Air / Q000139:chemically induced*; D006801:Humans; D006861:Hydrogen Peroxide / Q000009:adverse effects*; D008297:Male; D010100:Oxygen / Q000097:blood*; D007507:Therapeutic Irrigation / Q000009:adverse effects*
D002245:Carbon Dioxide; D006861:Hydrogen Peroxide; D010100:Oxygen