A rare and uncommon complication after use of hydrogen peroxide (HO): A review of use of HO in orthopaedics
Hydrogen peroxide (H 2 O 2 ) is a commonly used chemical agent in orthopaedic practice for antisepsis, haemostasis and preparation of bone bed for cementation. However, the associated risks of H 2 O 2 usage are not widely known. We report a case of suspected air embolism after use of H 2 O 2 during...
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Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
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doaj-2769da7991b54ab8a62f33dbd63836442020-12-03T02:37:48ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49172210-49252020-12-012710.1177/2210491720925089A rare and uncommon complication after use of hydrogen peroxide (HO): A review of use of HO in orthopaedicsMichael Matthew Chan0Tao Sun Tycus Tse1Yik-Cheung Samuel Wan2Yuk Wah Hung3Jason CH Fan4 Department of Orthopaedics and Traumatology, , Hong Kong Department or Orthopaedics and Traumatology, , Tai Po, Hong Kong Department or Orthopaedics and Traumatology, , Tai Po, Hong Kong Department or Orthopaedics and Traumatology, , Tai Po, Hong Kong Department or Orthopaedics and Traumatology, , Tai Po, Hong KongHydrogen peroxide (H 2 O 2 ) is a commonly used chemical agent in orthopaedic practice for antisepsis, haemostasis and preparation of bone bed for cementation. However, the associated risks of H 2 O 2 usage are not widely known. We report a case of suspected air embolism after use of H 2 O 2 during drainage of a septic arthritis of the shoulder. Upon our literature review, we were able to demonstrate H 2 O 2 to 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. H 2 O 2 has not been shown to be helpful with haemostasis. Prior to the use of H 2 O 2 , one should be cautious and understand its associated risks and precautions.https://doi.org/10.1177/2210491720925089 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Michael Matthew Chan Tao Sun Tycus Tse Yik-Cheung Samuel Wan Yuk Wah Hung Jason CH Fan |
spellingShingle |
Michael Matthew Chan Tao Sun Tycus Tse Yik-Cheung Samuel Wan Yuk Wah Hung Jason CH Fan A rare and uncommon complication after use of hydrogen peroxide (HO): A review of use of HO in orthopaedics Journal of Orthopaedics, Trauma and Rehabilitation |
author_facet |
Michael Matthew Chan Tao Sun Tycus Tse Yik-Cheung Samuel Wan Yuk Wah Hung Jason CH Fan |
author_sort |
Michael Matthew Chan |
title |
A rare and uncommon complication after use of hydrogen peroxide (HO): A review of use of HO in orthopaedics |
title_short |
A rare and uncommon complication after use of hydrogen peroxide (HO): A review of use of HO in orthopaedics |
title_full |
A rare and uncommon complication after use of hydrogen peroxide (HO): A review of use of HO in orthopaedics |
title_fullStr |
A rare and uncommon complication after use of hydrogen peroxide (HO): A review of use of HO in orthopaedics |
title_full_unstemmed |
A rare and uncommon complication after use of hydrogen peroxide (HO): A review of use of HO in orthopaedics |
title_sort |
rare and uncommon complication after use of hydrogen peroxide (ho): a review of use of ho in orthopaedics |
publisher |
SAGE Publishing |
series |
Journal of Orthopaedics, Trauma and Rehabilitation |
issn |
2210-4917 2210-4925 |
publishDate |
2020-12-01 |
description |
Hydrogen peroxide (H 2 O 2 ) is a commonly used chemical agent in orthopaedic practice for antisepsis, haemostasis and preparation of bone bed for cementation. However, the associated risks of H 2 O 2 usage are not widely known. We report a case of suspected air embolism after use of H 2 O 2 during drainage of a septic arthritis of the shoulder. Upon our literature review, we were able to demonstrate H 2 O 2 to 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. H 2 O 2 has not been shown to be helpful with haemostasis. Prior to the use of H 2 O 2 , one should be cautious and understand its associated risks and precautions. |
url |
https://doi.org/10.1177/2210491720925089 |
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