Cardiac arrest following hydrogen peroxide irrigation of a breast wound

Summary Hydrogen peroxide is commonly used for the decontamination of wounds. We report a case of a probable venous oxygen embolism resulting in cardiovascular collapse following irrigation of a necrotic breast wound with hydrogen peroxide. We discuss the differential diagnosis, mechanism of oxygen...

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Veröffentlicht in:	Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2010-03, Vol.63 (3), p.e253-e254
Hauptverfasser:	Beattie, C, Harry, L.E, Hamilton, S.A, Burke, D
Format:	Artikel
Sprache:	eng
Schlagworte:	Administration, Topical Anti-Infective Agents, Local - administration & dosage Anti-Infective Agents, Local - adverse effects Breast Contaminated wound Embolism, Air - etiology Female Heart Arrest - etiology Humans Hydrogen peroxide Hydrogen Peroxide - administration & dosage Hydrogen Peroxide - adverse effects Lavage Mammaplasty - adverse effects Middle Aged Plastic Surgery Surgical Wound Infection - drug therapy Surgical Wound Infection - etiology Therapeutic Irrigation - adverse effects Venous oxygen embolism
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Zusammenfassung:	Summary Hydrogen peroxide is commonly used for the decontamination of wounds. We report a case of a probable venous oxygen embolism resulting in cardiovascular collapse following irrigation of a necrotic breast wound with hydrogen peroxide. We discuss the differential diagnosis, mechanism of oxygen embolism and question the relative advantages versus disadvantages of using hydrogen peroxide for wound decontamination.
ISSN:	1748-6815 1878-0539
DOI:	10.1016/j.bjps.2009.07.012