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Cerebral arterial gas embolism after pre-flight ingestion of hydrogen peroxide
Ben L Smedley1, Alan Gault2,3, Ian C Gawthrope2,3,4
1Rockingham General Hospital, Rockingham, Western Australia.
Abstract:
Cerebral arterial gas embolism (CAGE) is a feared complication of ambient depressurisation and can also be a complication of hydrogen peroxide ingestion. We present an unusual case of CAGE in a 57-year-old woman exposed to both of these risk factors. We describe her subsequent successful treatment with hyperbaric oxygen, despite a 72-hour delay in initial presentation and diagnosis, and discuss the safety of aero-medical transfer following hydrogen peroxide ingestions.
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