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Case Reports
Grade III bone cement implantation syndrome in malignant lung cancer patient: a case report.
- Pawan Kumar Hamal, Puspa Raj Poudel, and Janith Singh.
- National Academy of Medical Sciences, National Trauma Center, Kathmandu, Nepal. nawaph@gmail.com.
- BMC Anesthesiol. 2018 Mar 2; 18 (1): 2828.
BackgroundBone 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 PresentationWe 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.ConclusionsCareful 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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