title: [Acute ischemia of the hand, an unknown complication of the hydrogen peroxide irrigation. Case report].
abstract: We report a case of acute transitional ischemia of the hand with acute compartment syndrome of the forearm, following hydrogen peroxide irrigation of a wound. We discuss the physiopathology and management of this complication. Along with numerous related cases of gas embolism, this complication emphasizes the risks of using hydrogen peroxide under pressure, notably in hand surgery.
authors.affiliation: Service de chirurgie orthopédique et traumatologie, CHU de la Cavale Blanche, CHU de Brest, France. ahmed.zemirline@chu-brest.fr
authors.forename: A
authors.initials: A
authors.lastname: Zemirline
authors.forename: F
authors.initials: F
authors.lastname: Loaëc
authors.forename: L
authors.initials: L
authors.lastname: Hélaine
authors.forename: J
authors.initials: J
authors.lastname: Richou
authors.forename: D
authors.initials: D
authors.lastname: Le Nen
mesh_terms: D000208:Acute Disease; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage / Q000009:adverse effects*; D003161:Compartment Syndromes / Q000139:chemically induced* / Q000503:physiopathology; D004618:Embolism, Air / Q000139:chemically induced / Q000503:physiopathology; D006225:Hand / Q000098:blood supply*; D006801:Humans; D006861:Hydrogen Peroxide / Q000008:administration & dosage / Q000009:adverse effects*; D007511:Ischemia / Q000139:chemically induced* / Q000503:physiopathology* / Q000628:therapy; D008297:Male; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000628:therapy*; D013211:Staphylococcus aureus / Q000302:isolation & purification; D007507:Therapeutic Irrigation / Q000009:adverse effects; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000891:Anti-Infective Agents, Local; D006861:Hydrogen Peroxide