Comparison between colloid preload and coload in bone cement implantation syndrome under spinal anesthesia: A randomized controlled trial

Özcan, Ayça Tuba Dumanlı; Kesimci, Elvin; Balci, Cemile; Kanbak, Orhan; Kaşıkara, Hülya; But, Abdülkadir

doi:10.4103/aer.aer_127_18

Cited by 2 publications

(2 citation statements)

References 18 publications

(20 reference statements)

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“…Zcan supplementation with colloids prior to surgery to avoid intravascular hypovolemia has played a role in preventing BCIS. [32] Therefore, oxygen therapy should be administered to these patients. When BCIS occurs, the patient will have symptoms of hypoxia, and oxygen therapy should be administered to the patient promptly.…”

Section: Precautions For Bone Cement Implantationmentioning

confidence: 99%

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Study of the cement implantation syndrome: A review

Yang,

Meng,

Huang

2024

Medicine

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Bone cement implantation syndrome (BCIS) is a critical and potentially life-threatening condition that manifests during implantation. Characterized by a constellation of symptoms, including hypoxemia, hypotension, cardiac arrhythmias, elevated pulmonary vascular resistance, and occasionally cardiac arrest, BCIS typically ensues shortly after cement introduction, albeit with rare instances of delayed onset. Primarily attributed to the exothermic reaction of bone cement implantation, this syndrome is caused by local tissue damage, histamine and prostaglandin release, and microemboli formation, ultimately triggering a systemic immune response that culminates in respiratory and circulatory failure. The current hypotheses regarding BCIS include embolism, allergic reactions, and cement autotoxicity. BCIS management emphasizes preventative strategies, encompassing meticulous patient risk assessment, comprehensive preoperative and intraoperative evaluations, and precise cement application techniques. Treatment primarily involves symptomatic therapy and life-support measures to address the systemic effects of the syndrome.

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Section: Precautions For Bone Cement Implantationmentioning

confidence: 99%

“…Zcan supplementation with colloids prior to surgery to avoid intravascular hypovolemia has played a role in preventing BCIS. [ 32 ]…”

Section: Treatment Of Bcismentioning

confidence: 99%

Study of the cement implantation syndrome: A review

Yang,

Meng,

Huang

2024

Medicine

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Timing and Tips for Total Hip Arthroplasty in a Critically Ill Patient With Coronavirus Disease 2019 and a Femoral Neck Fracture

et al. 2020

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Expedited time to surgery after hip fracture is associated with decreased morbidity and mortality in appropriately optimized patients. However, the optimal timing of surgery in patients with the novel coronavirus disease 2019 (COVID-19) infection remains unknown. This case report describes a patient with COVID-19 pneumonia complicated by multiorgan system failure requiring intubation who sustained a femoral neck fracture that required total hip arthroplasty. This patient had a significant, deliberate delay in time to surgical intervention because of his critical state. When deciding the optimal timing for total hip arthroplasty in patients with COVID-19, we recommend using inflammatory markers, such as procalcitonin and interleukin-6, as indicators of disease resolution and caution operative intervention when patients are nearing the 7-10th day of COVID-19 symptoms. Furthermore, implant cementation and spinal anesthesia in critically ill COVID-positive patients should be approached cautiously in the setting of pulmonary disease and multiorgan system failure. Close follow-up with medical doctors is recommended to minimize long-term sequelae and delay to baseline mobility.

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Comparison between colloid preload and coload in bone cement implantation syndrome under spinal anesthesia: A randomized controlled trial

Cited by 2 publications

References 18 publications

Study of the cement implantation syndrome: A review

Study of the cement implantation syndrome: A review

Timing and Tips for Total Hip Arthroplasty in a Critically Ill Patient With Coronavirus Disease 2019 and a Femoral Neck Fracture

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