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 |
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container_title | The Journal of emergency medicine |
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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. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-65c3e9aca970ee3396501e3ade66bc3e6330ac4dfaad6dcb2b74d4dd6577ebba3</citedby><cites>FETCH-LOGICAL-c423t-65c3e9aca970ee3396501e3ade66bc3e6330ac4dfaad6dcb2b74d4dd6577ebba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0736467913010822$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24268898$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Byrne, Brendan, MD</creatorcontrib><creatorcontrib>Sherwin, Robert, MD</creatorcontrib><creatorcontrib>Courage, Cheryl, MA</creatorcontrib><creatorcontrib>Baylor, Alfred, MD</creatorcontrib><creatorcontrib>Dolcourt, Bram, MD</creatorcontrib><creatorcontrib>Brudzewski, Jacek R., MD</creatorcontrib><creatorcontrib>Mosteller, Jeffrey, CHT</creatorcontrib><creatorcontrib>Wilson, Robert F., MD</creatorcontrib><title>Hyperbaric Oxygen Therapy for Systemic Gas Embolism after Hydrogen Peroxide Ingestion</title><title>The Journal of emergency medicine</title><addtitle>J Emerg Med</addtitle><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.</description><subject>Anti-Infective Agents, Local - poisoning</subject><subject>Embolism, Air - chemically induced</subject><subject>Embolism, Air - therapy</subject><subject>Emergency</subject><subject>Female</subject><subject>gas emboli</subject><subject>H2O2</subject><subject>Humans</subject><subject>hydrogen peroxide</subject><subject>Hydrogen Peroxide - poisoning</subject><subject>hyperbaric oxygen</subject><subject>Hyperbaric Oxygenation</subject><subject>ingestion</subject><subject>Male</subject><subject>Middle Aged</subject><subject>oxygen emboli</subject><subject>Treatment Outcome</subject><issn>0736-4679</issn><issn>2352-5029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUFP3DAQhS3UCrbAX0A59pJ0bCdOfKlaIcoiIVEJOFuOPaFOk3hrZxH593W07KWXnubw3pun-YaQKwoFBSq-9EWPI4YRbcGA8gKaAiQ9IRvGK5ZXwOQHsoGai7wUtTwjn2LsAWgNDT0lZ6xkomlksyHP22WHodXBmezhbXnBKXv6hUHvlqzzIXtc4oxj0m51zG7G1g8ujpnuZgzZdrHBr4GfGPybs5jdTS8YZ-enC_Kx00PEy_d5Tp5_3Dxdb_P7h9u76-_3uSkZn3NRGY5SGy1rQORcigoocm1RiDZJgnPQprSd1lZY07K2Lm1prajqGttW83Py-bB3F_yffepWo4sGh0FP6PdR0VIyIYGzMlnFwWqCjzFgp3bBjTosioJakapeHZGqFamCRiWkKXj13rFvV-0YOzJMhm8HA6ZLXx0GFY3DyaB1Ac2srHf_7_j6zwozuMkZPfzGBWPv92FKHBVVkSlQj-tj179SDhQaxvhfCiyhuQ</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Byrne, Brendan, MD</creator><creator>Sherwin, Robert, MD</creator><creator>Courage, Cheryl, MA</creator><creator>Baylor, Alfred, MD</creator><creator>Dolcourt, Bram, MD</creator><creator>Brudzewski, Jacek R., MD</creator><creator>Mosteller, Jeffrey, CHT</creator><creator>Wilson, Robert F., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140201</creationdate><title>Hyperbaric Oxygen Therapy for Systemic Gas Embolism after Hydrogen Peroxide Ingestion</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-65c3e9aca970ee3396501e3ade66bc3e6330ac4dfaad6dcb2b74d4dd6577ebba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Anti-Infective Agents, Local - poisoning</topic><topic>Embolism, Air - chemically induced</topic><topic>Embolism, Air - therapy</topic><topic>Emergency</topic><topic>Female</topic><topic>gas emboli</topic><topic>H2O2</topic><topic>Humans</topic><topic>hydrogen peroxide</topic><topic>Hydrogen Peroxide - poisoning</topic><topic>hyperbaric oxygen</topic><topic>Hyperbaric Oxygenation</topic><topic>ingestion</topic><topic>Male</topic><topic>Middle Aged</topic><topic>oxygen emboli</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Byrne, Brendan, MD</creatorcontrib><creatorcontrib>Sherwin, Robert, MD</creatorcontrib><creatorcontrib>Courage, Cheryl, MA</creatorcontrib><creatorcontrib>Baylor, Alfred, MD</creatorcontrib><creatorcontrib>Dolcourt, Bram, MD</creatorcontrib><creatorcontrib>Brudzewski, Jacek R., MD</creatorcontrib><creatorcontrib>Mosteller, Jeffrey, CHT</creatorcontrib><creatorcontrib>Wilson, Robert F., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Byrne, Brendan, MD</au><au>Sherwin, Robert, MD</au><au>Courage, Cheryl, MA</au><au>Baylor, Alfred, MD</au><au>Dolcourt, Bram, MD</au><au>Brudzewski, Jacek R., MD</au><au>Mosteller, Jeffrey, CHT</au><au>Wilson, Robert F., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hyperbaric Oxygen Therapy for Systemic Gas Embolism after Hydrogen Peroxide Ingestion</atitle><jtitle>The Journal of emergency medicine</jtitle><addtitle>J Emerg Med</addtitle><date>2014-02-01</date><risdate>2014</risdate><volume>46</volume><issue>2</issue><spage>171</spage><epage>175</epage><pages>171-175</pages><issn>0736-4679</issn><eissn>2352-5029</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24268898</pmid><doi>10.1016/j.jemermed.2013.08.091</doi><tpages>5</tpages></addata></record> |
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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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