Onur PALABIYIK, Yaşar TOPTAŞ, Serbülent Gökhan BEYAZ, Yakup TOMAK, Ali Fuat ERDEM

Kalça protezi ameliyatında kemik çimentosu implantasyon sendromu

Total kalça protezi ameliyatları kalça osteoartrozu veya femur kırıklı geriatrik hastalarda sık karşılaşılan prosedürlerdendir. Kardiyorespiratuvar yetmezliği olan doksan beş yaşındaki bayan olguya femur kırığı nedeniyle total kalça protezi operasyonu için kombine spinal epidural anestezi planlandı. Rejyonal anestezi sorunsuz uygulanmasına rağmen, intraoperatif kemik çimentosu yerleştirilmesi sırasında kardiyak arrest gelişen olgu kemik çimentosu implantasyon sendromu olarak düşünüldü. Kemik çimentosu implantasyon sendromu, çimentolu protez operasyonlarında ortaya çıkan ve hayatı tehdit eden bir komplikasyondur. Klinik tablo hipoksi, hipotansiyon, açıklanamayan bilinç kaybı ve kardiyak arrestle karakterizedir. Kemik çimentosu implantasyon sendromu nedeniyle ölüm oranı yaklaşık olarak % 0.1' dir. Bu sunuda, ciddi bir komplikasyon olan kemik çimentosu implantasyon sendromunu irdeledik.

Anahtar Kelimeler:

Kemik çimentosu; komplikasyon; kardiyak arrest

Bone cement implantation syndrome in hip replacement procedure

Total hip replacement procedures are common in geriatric patients with osteoarthrosis of the hip or femur fracture. We planned combined spinal epidural anesthesia for total hip replacement operation due to femur fracture in a ninety-five female case with cardiorespiratory failure. Although the regional anesthesia had applied smoothly, intraoperative cardiac arrest during the placement of cement was thought to be a case with bone cement implantation syndrome. Bone cement implantation syndrome is occured in cemented prosthesis operations and a life-threatened complication. Clinic presentation is characterized by hypoxia, hypotension, unexpected loss of consciousness and cardiac arrest. Mortality rate due to bone cement implantation syndrome is approximately 0.1%. In this present, we examined bone cement implantation syndrome, which is a severe complication.

Keywords:

Bone cement; complication; cardiac arrest,

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