Annals of Cardiac Anaesthesia
Catastrophic Bone Cement Implantation Syndrome Identified Real Time with Transesophageal Echocardiography
By Nicholas Suraci, Tiffany Lim and Maisie Jackson.
Abstract
ABSTRACT Characterized by unexpected hypoxia, hypotension, or hemodynamic collapse, bone cement implantation syndrome (BCIS) is a rare complication of orthopedic surgeries. During the process of utilizing cement to aid in prosthetic implantation, increased intramedullary pressure can lead to embolization of mixed contents (cement, fat, air,) into the heart. By mechanical obstruction and inflammatory response, BCIS can lead to catastrophic cardiovascular collapse. Herein, we present an 81-year-old man with grade three BCIS with pulseless electrical activity during a left hip arthroplasty with the aid of transesophageal echocardiography.
Keywords
- Orthopaedic implants and arthroplasty
- Open access
Source
Published in Annals of Cardiac Anaesthesia. The abstract is shown as published and remains the work of its authors; read the full article at the source.
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