Paro respiratorio como resultado de síndrome de implantación por cemento óseo durante cirugía de reemplazo total de cadera: reporte de caso

Gary Monclou-Garzón; David Acosta-Hernández; Andrea Susana Castro-Álvarez; María Camila Gómez-Lora; Karen Eiliana Gutiérrez-Ortiz; Heillym Suárez-P´érez; Edgar Manuel Bodu-Lamberti

doi:10.58814/01208845.81

Authors

Gary Monclou-Garzón Clínica Palermo, Orthopedics and Trauma Department, Bogotá D.C., Colombia. https://orcid.org/0000-0002-4307-1576
David Acosta-Hernández Clínica Palermo, Instituto Palermo de Ortopedia y Traumatología, Scientific Research Group, Bogotá D.C., Colombia. https://orcid.org/0000-0002-4747-0638
Andrea Susana Castro-Álvarez Fundación Universitaria Sanitas, Orthopedics and Trauma Specialty, Bogotá D.C., Colombia. https://orcid.org/0000-0002-0869-5308
María Camila Gómez-Lora Clínica Palermo, Orthopedics and Trauma Department, Bogotá D.C., Colombia. https://orcid.org/0000-0002-8120-048X
Karen Eiliana Gutiérrez-Ortiz Clínica Palermo, Emergency Department, Bogotá D.C., Colombia. https://orcid.org/0000-0001-5716-5189
Heillym Suárez-P´érez Universidad de La Sabana, Faculty of Medicine, Bogotá D.C., Colombia. https://orcid.org/0000-0002-9210-9892
Edgar Manuel Bodu-Lamberti Universidad de La Sabana, Faculty of Medicine, Bogotá D.C., Colombia. https://orcid.org/0009-0007-3546-3266

DOI:

https://doi.org/10.58814/01208845.81

Keywords:

Hip Fractures, Bone Cements, Arthroplasty, Replacement, Hip, Intraoperative Complications, Case Reports

Abstract

Introduction: Bone cement implantation syndrome (BCIS) is an unpredictable and rare but potentially life-threatening complication of total hip replacement (THR) surgeries.

Case presentation: An 85-year-old woman with multiple comorbidities (type 2 diabetes mellitus, hypothyroidism, and high blood pressure) and a history of acute myocardial infarction attended the emergency department of a tertiary care clinic in Bogotá D.C. (Colombia) due to a fall from her own height. X-rays of the hip showed a basicervical fracture of the left femoral neck, for which she was admitted to the hospital and taken to THR five days later. During surgery, she presented hypotension, extreme bradycardia. and low oxygen saturation after femoral stem cementation; as a result, analgesics were discontinued, atropine was administered, and the surgical wound was closed. Upon completion of the procedure, the patient suffered a sudden cardiac arrest and was declared dead after performing cardiopulmonary resuscitation for 30 minutes and confirming BCIS on transthoracic echocardiography.

Conclusion: While BCIS is an unpredictable complication, based on the evidence in this case report, advanced age and a history of comorbidities play an important role in the risk of developing this syndrome. Further studies are needed to develop protocols for the management and prevention of BCIS.

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References

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Respiratory arrest during total hip replacement surgery due to bone cement implantation syndrome: a case report

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