Bone cement implantation syndrome during joint replacement in oncological patients

Methods. We performed a prospective study incidence, risk factors and haemodynamic effects associated with bone cement implantation syndrome (BSIS) at 211 oncological patients undergoing cemented joint replacement: total hip (30), knee (141), ankle (6), femur (9), elbow (3), hemischoulder (22) arthroplasty. The anesthetic technique consisted of superficial general or spinal anesthesia with epidural or conductive analgesia. The cardiovascular changes were determined. Multivariate logistic regression analysis was conducted to determine which clinical variables were predictive of BCIS.
Results. The incidence of BCIS was 7.8% (11/141), 3.3% (1/30), 0% (0/22) among patients undergoing knee, hip and shoulder arthroplasty accordingly; intraoperative mortality was 0% (0/211). Independed patient-related risk factors have been implicated in the genesis of BCIS including old age, body mass index. There were three cases of BCIS during knee arthroplasty with inflated tourniquet.
Conclusion. The cardiovascular indicators during cemented period could significantly increase that means cardiovascular reserves preservation.