title: The absence of arterial oxygen desaturation during massive oxygen embolism after hydrogen peroxide irrigation.
abstract: 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.
authors.affiliation: *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.
authors.forename: Wei-Zen
authors.initials: WZ
authors.lastname: Sun
authors.forename: Chin-Shuang
authors.initials: CS
authors.lastname: Lin
authors.forename: Andy A
authors.initials: AA
authors.lastname: Lee
authors.forename: Wei-Hung
authors.initials: WH
authors.lastname: Chan
mesh_terms: 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*
chemical_list: D002245:Carbon Dioxide; D006861:Hydrogen Peroxide; D010100:Oxygen