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Case Report
 
Bone cement implantation syndrome: An unavoidable catastrophe?
Vera Barbosa1, Sandra Carneiro1, Joana Barros2, Teresa Rebelo1
1Departmento de Anestesiologia, Unidade Local de Saúde de Matosinhos E.P.E., Hospital Pedro Hispano.
2Departmento da Mulher, da Criança e do Jovem, Unidade Local de Saúde de Matosinhos E.P.E., Hospital Pedro Hispano.

Article ID: 100029CRINTVP2016
doi:10.5348/crint-2016-29-CR-10

Address correspondence to:
Vera Barbosa
Departmento de Anestesiologia
Unidade Local de Saúde de Matosinhos E.P.E
Hospital Pedro Hispano

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How to cite this article:
Barbosa V, Carneiro S, Barros J, Rebelo T. Bone cement implantation syndrome: An unavoidable catastrophe? Case Rep Int 2016;5:40–43.


Abstract
Introduction: Bone cement implantation syndrome is an important cause of perioperative morbidity and mortality (0.6–1%) in patients undergoing cemented hip arthroplasty. Clinical features include cardiac, neurologic and respiratory impairments that may lead to cardiac arrest. It has been proposed that the effect of systemically absorbed methyl methacrylate and release of endogenous mediators can be the main process which leads to multiorgan dysfunction.
Case Report: We describe a case of bone cement implantation syndrome developed in a hip arthroplasty with a catastrophic outcome, resulting in the death of the patient in 24h.
Conclusion: The review of clinical cases of bone cement implantation syndrome is essential in clinical practice given that early recognition and management of this syndrome may improve the overall prognosis.

Keywords: Arthroplasty, Cardiac arrest, Cement, Embolism


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Author Contributions
Vera Barbosa – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sandra Carneiro – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Joana Barros – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Teresa Rebelo – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Vera Barbosa et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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