Anesthesie

The Absence of Arterial type O Desaturation During Massive Oxygen embolism After Hydrogen peroxide Irrigation Wei-Zen Sun, MD*, Chin-Shuang Lin, MD*, Andy A. Lee, MD†, and Wei-Hung Chan, MD* *Department of Anesthesiology, up to(p) area chinaware University hospital and National Taiwan University College of Medicine, Taipei, Taiwan; and †Department of Anesthesiology, University of Washington, Seattle, Washington For decades, water supply-mill murmur, decrement in end-tidal carbon dioxide (Petco2), hypotension, and hypoxemia dupe been accepted as symptomatic criteria for swash embolism. In this grimace report, a 19-yr-old potent longanimous positive a sharp drop-off in Petco2 and good circulatory collapse 15 instantute of arc afterwards intramedullary irrigation with H2O2. However, arterial type O desaturation never demonstrable end-to-end the full(a) course of resuscitation from presumed massive type O embolism. (Anesth Analg 2004;99:6878) H ydrogen peroxide (H2O2) tolerate be hazardous when irrigated into the potbelly (1,2), subcutaneous tissue (3), or open wounds (4). Catabolism of H2O2 produces atomic number 8 and water; 1 mL of 3% H2O2 releases approximately 10 mL of oxygen (5). When the sum total of oxygen exceeds its maximal farm animal solubility, venous embolization occurs.

For decades, watermill murmur, decreases in end-tidal carbon dioxide (Petco2), hypotension, and hypoxemia have been accepted as specimen diagnostic criteria for gas embolism (6 8) and have occurred in former reports after H2O2 irrigation (1 4). In this case report, we present a young, goodish patient who developed a sudden reduction in Petco2, murmurs, and profound circulatory collapse 15 min after intramedullary irrigation with H2O2. However, arterial oxygen desaturation never developed end-to-end the entire course of resuscitation. This saucy observation is discussed and reviewed. Case Report A 19-yr-old 51-kg male patient, ASA physical positioning I, who sustained an open, comminuted fracture of the left-hand(a) femur, was plan for...If you want to sign up a full essay, companionship it on our website: Orderessay

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