Bone Cement Implantation Syndrome in Cemented Hip Arthroplasty: Hypothetization of a New Therapeutic Approach and Proposition of a Treatment Algorithm

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dc.creatorLeandro Emílio Nascimento Santos
dc.creatorLeonardo Brandão Figueiredo
dc.creatorLucas Amaral Santos
dc.creatorEduardo Augusto Marques Soares
dc.creatorDaniel Baumfeld
dc.creatorThiago l. Lima
dc.creatorMarco Antônio Percope de Andrade
dc.creatorRobinson Esteves Santos Pires
dc.date.accessioned2023-07-26T20:13:14Z
dc.date.accessioned2025-09-08T23:37:04Z
dc.date.available2023-07-26T20:13:14Z
dc.date.issued2018-03
dc.format.mimetypepdf
dc.identifier.issn22779205
dc.identifier.urihttps://hdl.handle.net/1843/57031
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofAnnals of Medical and Health Sciences Research
dc.rightsAcesso Aberto
dc.subjectCimentos Ósseos
dc.subjectArtroplastia de Quadril
dc.subjectEmbolia Pulmonar
dc.subjectChoque Cardiogênico
dc.subject.otherBone cement
dc.subject.otherHip replacement
dc.subject.otherPulmonary embolism
dc.subject.otherCardiogenic shock
dc.titleBone Cement Implantation Syndrome in Cemented Hip Arthroplasty: Hypothetization of a New Therapeutic Approach and Proposition of a Treatment Algorithm
dc.typeArtigo de periódico
local.citation.epage116
local.citation.issue2
local.citation.spage111
local.citation.volume8
local.description.resumoPurpose: Management of bone cement implantation syndrome (BCIS) during or immediately after hip arthroplasty (HA) is difficult and often leads to mortality. We have reviewed the medical records of patients submitted to HA at our institution and propose a standard operating procedure (SOP) for the event of cardiogenic shock. Methods: SOP was based on the analysis of the medical records of patients who had been submitted to cemented (n = 250) or uncemented (n = 408) HA, three of whom died because of BCIS,and on the individual experiences of the surgical team, taking into consideration the pathophysiology of acute right ventricular failure. Results: The proposed SOP involves the use of extracorporeal membrane oxygenation (ECMO) as a complementary therapy to mechanical ventilation with the purpose of improving patient outcome and reducing the risk of death. Inclusion and exclusion criteria, along with recommendations for the use of ECMO, are presented. Conclusion: Although our hypothesis has yet to be fully validated, the proposed a SOP has been implemented in our hospital. Because of the rarity of BCIS, we hope that the SOP will be effectuated in other institutions to ascertain the effectiveness of ECMO in the treatment of BCIS.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.initialsUFMG
local.url.externahttps://www.amhsr.org/articles/bone-cement-implantation-syndrome-in-cemented-hip-arthroplasty-hypothetization-of-a-new-therapeutic-approach-and-proposition-of-a--4492.html

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