The absence of arterial oxygen desaturation during massive oxygen embolism after hydrogen peroxide irrigation
Journal
Anesthesia and Analgesia
Journal Volume
99
Journal Issue
3
Pages
687-688
Date Issued
2004
Author(s)
Abstract
For decades, water-mill murmur, decrease in end-tidal CO2 (PETC02), 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.
Other Subjects
anticonvulsive agent; carbon dioxide; diazepam; hydrogen peroxide; inotropic agent; oxygen; propofol; troponin; adult; anesthesia complication; arterial oxygen tension; artery embolism; article; case report; diagnostic accuracy; disease course; end tidal carbon dioxide tension; femur fracture; gas embolism; heart murmur; human; hypotension; hypoxemia; lavage; male; oxygen embolism; oxygen saturation; priority journal; resuscitation; shock; Adult; Carbon Dioxide; Embolism, Air; Humans; Hydrogen Peroxide; Irrigation; Male; Oxygen
Type
journal article