Bone Cement Implantation Syndrome
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May Anne Cheong ◽  
Kenneth Michael Chew

Bone cement implantation syndrome (BCIS) is a rare and potentially fatal perioperative complication of cemented orthopaedics surgery. A CT-pulmonary angiogram and echocardiogram images were acquired from an 88-year-old patient who had a perioperative collapse while undergoing a revision operation for a peri-implant fracture of the right femoral neck. Findings were suggestive of an intracardiac clot connected to a saddle pulmonary artery embolus. Patient also developed disseminated intravascular coagulation. Overall findings were suggestive of bone cement implantation syndrome.

Henri Bonfait ◽  
Christian Delaunay ◽  
Emmanuel De Thomasson ◽  
Philippe Tracol ◽  
Jean-Roger Werther ◽  

2021 ◽  
pp. 611-646
Richard Griffiths ◽  
David Brooks

This chapter discusses the anaesthetic management of orthopaedic surgery. It begins with general principles of the anaesthetic management of orthopaedic surgical patients, including the management of fat embolism syndrome (FES), bone cement implantation syndrome (BCIS), and the use of tourniquets. Surgical procedures covered include total hip joint replacement (THJR) (including revision THJR); femoral neck fracture surgery; total knee joint replacement (TKJR); arthroscopy; cruciate ligament repair; ankle surgery; foot surgery; spinal surgery (including the cervical spine); shoulder surgery (including total shoulder joint replacement (TSJR)); elbow replacement surgery and hand surgery.

2021 ◽  
pp. 100517
Raymond Chung Wai Wan ◽  
Wing Hong Liu ◽  
Raymond Wai Kit Ng ◽  
Chi Yin Tso ◽  
Simon Kwoon-Ho Chow ◽  

2021 ◽  
Vol 29 (3) ◽  
pp. 412-414
Ulaş Kumbasar ◽  
Pramod Bonde

Bone cement implantation syndrome is a rare and potentially fatal complication which may occur following cemented bone surgery. Herein, we present a case of delayed and fatal presentation of bone cement implantation syndrome following cemented spinal surgery, despite mechanical support with extracorporeal mechanical oxygenation.

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