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Published in: BMC Anesthesiology 1/2018

Open Access 01-12-2018 | Case report

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

Authors: Pawan Kumar Hamal, Puspa Raj Poudel, Janith Singh

Published in: BMC Anesthesiology | Issue 1/2018

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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.
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Metadata
Title
Grade III bone cement implantation syndrome in malignant lung cancer patient: a case report
Authors
Pawan Kumar Hamal
Puspa Raj Poudel
Janith Singh
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Anesthesiology / Issue 1/2018
Electronic ISSN: 1471-2253
DOI
https://doi.org/10.1186/s12871-018-0492-x

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