Bone Cement Implantation Syndrome- A Case Series

Abstract

In Bone Cement Implantation Syndrome (BCIS) there occurs hypoxia, hypotension, and loss of consciousness at around the time the bone is cemented. Hip arthroplasty has become a frequent intervention with the increase in aging population. Hereby, the authors discussed five cases (three male and two female patients), all aged 58 years and above. Few patients found to have co-morbid medical conditions in the Preanaesthetic Clinic (PAC). All the patients developed adverse responses after the bone cementing procedure. One of the patients presented for PAC and was scheduled for right-sided knee arthroplasty. The generalised signs observed amongst these patients were hypoxia, hypotension, unexpected loss of consciousness, cardiovascular collapse, either intraoperatively or postoperatively, and were of varying severity. Patients were accordingly managed medically and were also given Cardiopulmonary Resuscitation (CPR), whenever required. Two patients could not be revived while three got discharged in good condition. The incidence of morbidity and mortality due to BCIS can be reduced by carefully identifying high-risk patients.