The Absence of Arterial Oxygen Desaturation during Massive Oxygen Embolism after Hydrogen Peroxide Irrigation
Resource
ANESTHESIA AND ANALGESIA v.99 n.3 pp.687-688
Journal
ANESTHESIA AND ANALGESIA
Journal Volume
v.99
Journal Issue
n.3
Pages
687-688
Date Issued
2004
Date
2004
Author(s)
SUN, WEI-ZEN
LEE, ANDY A.
CHAN, WEI-HUNG
Abstract
For decades, water-mill murmur, decrease in end-tidal CO2 ( PETCO2), 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 PETCO2 and profound circulatory collapse 15 min after intramedullary irrigation with H2O2. However, arterial oxygen desaturation never developed throughout the entire course of resuscitation from presumed massive oxygen embolism.