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Bone cement implantation syndrome: a delayed postoperative presentation.

Vikash Singh1, Pradipta Bhakta2, Edyta Zietak3

  • 1Department of Anaesthesia and Intensive care, Beaumont Hospital, Dublin, Ireland.

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|May 18, 2016
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Summary

Bone cement implantation syndrome (BCIS) can cause serious perioperative complications during hip arthroplasty. This report details a rare case of delayed BCIS presentation, highlighting the need for awareness and prompt management.

Keywords:
Bone cement implantation syndromeCementing arthroplasty of hip jointDelayed presentation

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Area of Science:

  • Orthopedic Surgery
  • Anesthesiology
  • Cardiology

Background:

  • Bone cement implantation syndrome (BCIS) is a serious complication during cemented hip arthroplasty.
  • It is characterized by hemodynamic instability and hypoxia.
  • BCIS is often underreported and poorly understood.

Observation:

  • This case report describes a delayed presentation of BCIS.
  • The patient underwent cemented right hip arthroplasty.
  • The syndrome manifested postoperatively.

Findings:

  • Delayed BCIS can occur following cemented hip arthroplasty.
  • Key features include hypotension, hypoxia, and cardiac arrhythmias.
  • Prompt recognition and management are crucial to prevent cardiac arrest.

Implications:

  • Increased awareness of delayed BCIS presentation is necessary for orthopedic surgeons and anesthesiologists.
  • Early diagnosis and intervention can improve patient outcomes.
  • Further research into the pathophysiology and management of BCIS is warranted.