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Cardiac arrest following the use of hydrogen peroxide during arthroplasty

A J Timperley1, D J Bracey

  • 1Royal Cornwall Hospital (City), Truro, United Kingdom.

The Journal of Arthroplasty
|December 1, 1989
PubMed

Insights

Hydrogen peroxide use during hip arthroplasty preparation may cause cardiac arrest due to oxygen embolism. Avoid using peroxide in unvented femoral canals to prevent this serious complication.

Area of Science:

  • Orthopedic Surgery
  • Medical Safety

Background:

  • Hip arthroplasty involves preparing the femoral canal.
  • Hydrogen peroxide is sometimes used in surgical preparation.

Observation:

  • A patient experienced cardiac arrest immediately after femoral canal preparation with hydrogen peroxide.
  • The cardiac arrest was attributed to a suspected oxygen embolism.

Findings:

  • The use of hydrogen peroxide in an unvented femoral canal is a potential cause of oxygen embolism.
  • This complication is similar to risks observed in other closed body cavities.

Implications:

  • Surgical protocols for hip arthroplasty should reconsider the use of hydrogen peroxide in the femoral canal.
  • Awareness of this risk is crucial for preventing iatrogenic oxygen embolism during orthopedic procedures.

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