Intraoperative oxygen embolus and tension pneumocephalus: Is hydrogen peroxide the culprit?

Hydrogen peroxide (H2O2) irrigation is commonly utilised in neurosurgical and non-neurosurgical procedures for its bactericidal and haemostatic effects. Tension pneumocephalus and venous air embolism are potentially disastrous neurological complications mostly seen after intracranial surgery in sitt...

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Bibliographic Details
Published in:Journal of neuroanaesthesiology and critical care 2017-01, Vol.4 (2), p.114-116
Main Authors: Supriya Dsouza, Anil Parakh, Chitra Sarma, Adarsh Kulkarni, Ajit Baviskar
Format: Article
Language:English
Subjects:
Embolism
hydrogen peroxide
tension pneumocephalus
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Summary:Hydrogen peroxide (H2O2) irrigation is commonly utilised in neurosurgical and non-neurosurgical procedures for its bactericidal and haemostatic effects. Tension pneumocephalus and venous air embolism are potentially disastrous neurological complications mostly seen after intracranial surgery in sitting position and trauma. We present a case of oxygen embolus and tension pneumocephalus after H2O2 irrigation during craniotomy in supine position.
ISSN:2348-0548
2348-926X
DOI:10.4103/jnacc.jnacc_11_17