Grade III bone cement implantation syndrome in malignant lung cancer patient: a case report.

Abstract:

BACKGROUND:Bone cement implantation syndrome is a known complication causing mortality during perioperative period particularly in patients with malignancy. With rise in aging population with malignancy in low income country, the syndrome is more likely to be encountered. CASE PRESENTATION:We present a case of 66 years old male patient with metastatic bronchogenic carcinoma of lung with pathological proximal femur fracture of left hip that underwent a cemented endoprosthesis under combined spinal epidural anesthesia who succumbed to intraoperative mortality due to grade III bone cement implantation syndrome even after aggressive fluid resuscitation, vasopressor use, and mechanical ventilation. CONCLUSIONS:Careful identification of risk factors with aggressive vigilance and intervention in part of surgeons and anesthesia both during intraoperative and postoperative period can mitigate the risk of bone cement implantation syndrome.

journal_name

BMC Anesthesiol

journal_title

BMC anesthesiology

authors

Hamal PK,Poudel PR,Singh J

doi

10.1186/s12871-018-0492-x

subject

Has Abstract

pub_date

2018-03-02 00:00:00

pages

28

issue

1

issn

1471-2253

pii

10.1186/s12871-018-0492-x

journal_volume

18

pub_type

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