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Updated: Aug 17, 2026

Topical Airway Anesthesia for Awake-endoscopic Intubation Using the Spray-as-you-go Technique with High Oxygen Flow
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Gas explosion during colonic surgery
J H De Wilt1, I H Borel Rinkes, K J Brouwer
1Department of Surgery, Zuiderziekenhuis, Rotterdam, The Netherlands.
Abstract:
Explosions of the colon as a result of the use of diathermy in the presence of gas mixtures of oxygen, hydrogen and/or methane have been previously described in the literature. This danger is present during colonoscopic polypectomy as well as during colonic surgery. The following case is presented to alert to the potential hazards of bowel gas during electrosurgery.
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