Cerebral arterial gas embolism after pre-flight ingestion of hydrogen peroxide
Smedley, B. L., Gault, A., & Gawthrope, I. C. (2016). Cerebral arterial gas embolism after pre-flight ingestion of hydrogen peroxide. Diving and Hyperbaric Medicine, 46 (2), 117-119.
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.
hyperbaric oxygen therapy, aviation, barotrauma, barometric pressure, case reports