Bone cement implantation syndrome: An unavoidable catastrophe?

Bone cement implantation syndrome: An unavoidable catastrophe?

Introduction: Bone cement implantation syndrome is an important cause of perioperative morbidity and mortality (0.6–1%) in patients undergoing cemented hip arthroplasty. Clinical features include cardiac, neurologic and respiratory impairments that may lead to cardiac arrest. It has been proposed that the effect of systemically absorbed methyl methacrylate and release of endogenous mediators ca...

Bone cement implantation syndrome.

Bone cement implantation syndrome (BCIS) is characterized by hypoxia, hypotension, cardiac arrhythmias, increased pulmonary vascular resistance and cardiac arrest. It is a known cause of morbidity and mortality in patients undergoing cemented orthopaedic surgeries. The rarity of the condition as well as absence of a proper definition has contributed to under-reporting of cases. We report a 59-y...

Bone cement implantation syndrome.

Bone cement implantation syndrome (BCIS) is poorly understood. It is an important cause of intraoperative mortality and morbidity in patients undergoing cemented hip arthroplasty and may also be seen in the postoperative period in a milder form causing hypoxia and confusion. Hip arthroplasty is becoming more common in an ageing population. The older patient may have co-existing pathologies whic...

Bone cement implantation syndrome pdf

Intralipid for Bone cement implantation syndrome (BCIS)?

Weinberg et al. (1) first showed in 1998 that an infusion of a soybean oil emulsion normally used as a total parenteral nutrition solution could prevent (by pretreatment) or improve resuscitation from cardiovascular collapse caused by severe bupivacaine overdose in the intact, anesthetized rat. Subsequent studies from the same laboratory confirmed these findings in isolated rat heart (2) and an...