Hyperbaric Oxygen Therapy for Systemic Gas Embolism after Hydrogen Peroxide Ingestion

Abstract Background Hydrogen peroxide is a commonly available product and its ingestion has been demonstrated to produce in vivo gas bubbles, which can embolize to devastating effect. Objective We report two cases of hydrogen peroxide ingestion with resultant gas embolization, one to the portal syst...

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Veröffentlicht in:The Journal of emergency medicine 2014-02, Vol.46 (2), p.171-175
Hauptverfasser: Byrne, Brendan, MD, Sherwin, Robert, MD, Courage, Cheryl, MA, Baylor, Alfred, MD, Dolcourt, Bram, MD, Brudzewski, Jacek R., MD, Mosteller, Jeffrey, CHT, Wilson, Robert F., MD
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container_end_page 175
container_issue 2
container_start_page 171
container_title The Journal of emergency medicine
container_volume 46
creator Byrne, Brendan, MD
Sherwin, Robert, MD
Courage, Cheryl, MA
Baylor, Alfred, MD
Dolcourt, Bram, MD
Brudzewski, Jacek R., MD
Mosteller, Jeffrey, CHT
Wilson, Robert F., MD
description Abstract Background Hydrogen peroxide is a commonly available product and its ingestion has been demonstrated to produce in vivo gas bubbles, which can embolize to devastating effect. Objective We report two cases of hydrogen peroxide ingestion with resultant gas embolization, one to the portal system and one cerebral embolus, which were successfully treated with hyperbaric oxygen therapy (HBO), and review the literature. Case Report Two individuals presented to our center after unintentional ingestion of concentrated hydrogen peroxide solutions. Symptoms were consistent with portal gas emboli (Patient A) and cerebral gas emboli (Patient B), which were demonstrated on imaging. They were successfully treated with HBO and recovered without event. Conclusions As demonstrated by both our experience as well as the current literature, HBO has been used to successfully treat gas emboli associated with hydrogen peroxide ingestion. We recommend consideration of HBO in any cases of significant hydrogen peroxide ingestion with a clinical picture compatible with gas emboli.
doi_str_mv 10.1016/j.jemermed.2013.08.091
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Objective We report two cases of hydrogen peroxide ingestion with resultant gas embolization, one to the portal system and one cerebral embolus, which were successfully treated with hyperbaric oxygen therapy (HBO), and review the literature. Case Report Two individuals presented to our center after unintentional ingestion of concentrated hydrogen peroxide solutions. Symptoms were consistent with portal gas emboli (Patient A) and cerebral gas emboli (Patient B), which were demonstrated on imaging. They were successfully treated with HBO and recovered without event. Conclusions As demonstrated by both our experience as well as the current literature, HBO has been used to successfully treat gas emboli associated with hydrogen peroxide ingestion. We recommend consideration of HBO in any cases of significant hydrogen peroxide ingestion with a clinical picture compatible with gas emboli.</description><identifier>ISSN: 0736-4679</identifier><identifier>EISSN: 2352-5029</identifier><identifier>DOI: 10.1016/j.jemermed.2013.08.091</identifier><identifier>PMID: 24268898</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anti-Infective Agents, Local - poisoning ; Embolism, Air - chemically induced ; Embolism, Air - therapy ; Emergency ; Female ; gas emboli ; H2O2 ; Humans ; hydrogen peroxide ; Hydrogen Peroxide - poisoning ; hyperbaric oxygen ; Hyperbaric Oxygenation ; ingestion ; Male ; Middle Aged ; oxygen emboli ; Treatment Outcome</subject><ispartof>The Journal of emergency medicine, 2014-02, Vol.46 (2), p.171-175</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. 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Objective We report two cases of hydrogen peroxide ingestion with resultant gas embolization, one to the portal system and one cerebral embolus, which were successfully treated with hyperbaric oxygen therapy (HBO), and review the literature. Case Report Two individuals presented to our center after unintentional ingestion of concentrated hydrogen peroxide solutions. Symptoms were consistent with portal gas emboli (Patient A) and cerebral gas emboli (Patient B), which were demonstrated on imaging. They were successfully treated with HBO and recovered without event. Conclusions As demonstrated by both our experience as well as the current literature, HBO has been used to successfully treat gas emboli associated with hydrogen peroxide ingestion. 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subjects Anti-Infective Agents, Local - poisoning
Embolism, Air - chemically induced
Embolism, Air - therapy
Emergency
Female
gas emboli
H2O2
Humans
hydrogen peroxide
Hydrogen Peroxide - poisoning
hyperbaric oxygen
Hyperbaric Oxygenation
ingestion
Male
Middle Aged
oxygen emboli
Treatment Outcome
title Hyperbaric Oxygen Therapy for Systemic Gas Embolism after Hydrogen Peroxide Ingestion
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