1. A rare and uncommon complication after use of hydrogen peroxide (H2O2): A review of use of H2O2in orthopaedics
- Author
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Tao Sun Tycus Tse, Yik-Cheung Samuel Wan, Yuk Wah Hung, Michael Matthew Chan, and Jason Ch Fan
- Subjects
030222 orthopedics ,medicine.medical_specialty ,business.industry ,Rehabilitation ,Dentistry ,030208 emergency & critical care medicine ,Physical Therapy, Sports Therapy and Rehabilitation ,medicine.disease ,Air embolism ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,chemistry ,Chemical agents ,Cementation (metallurgy) ,Orthopedic surgery ,medicine ,Orthopedics and Sports Medicine ,business ,Complication ,Hydrogen peroxide - Abstract
Hydrogen peroxide (H2O2) is a commonly used chemical agent in orthopaedic practice for antisepsis, haemostasis and preparation of bone bed for cementation. However, the associated risks of H2O2usage are not widely known. We report a case of suspected air embolism after use of H2O2during drainage of a septic arthritis of the shoulder.Upon our literature review, we were able to demonstrate H2O2to be beneficial in antisepsis and care of chronic wounds. However, it has not been proven to be superior to other antiseptics commonly used in orthopaedic surgery. Regarding its use in cementation, there is evidence to show it is more effective than saline however, the use of pulsatile lavage appears to be the most important factor affecting the quality of cementation. H2O2has not been shown to be helpful with haemostasis. Prior to the use of H2O2, one should be cautious and understand its associated risks and precautions.
- Published
- 2020