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Diagnosis of bone cement implantation syndrome using point of care ultrasound examination

Once regarded as a rare complication, the potentially fatal bone cement implantation syndrome (BCIS) has been increasingly reported. BCIS can present as transient desaturation, hypotension, cardiac dysrhythmias, and cardiovascular collapse. Diagnosis of BCIS is often clinical and confirmed with comp...

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Detalles Bibliográficos
Autores principales: Huang, Walter Chunhong, Lee, Pang, Wong, Theodore Gar Ling, Tan, Jerry Keng Tiong, Hwang, Nian Chih
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8404584/
https://www.ncbi.nlm.nih.gov/pubmed/34269272
http://dx.doi.org/10.4103/aca.ACA_202_19
Descripción
Sumario:Once regarded as a rare complication, the potentially fatal bone cement implantation syndrome (BCIS) has been increasingly reported. BCIS can present as transient desaturation, hypotension, cardiac dysrhythmias, and cardiovascular collapse. Diagnosis of BCIS is often clinical and confirmed with computed tomography (CT) imaging postoperatively. However, point of care ultrasound (POCUS) examination could be a helpful and timely tool to clinch the diagnosis in a sudden cardiovascular collapse. We present a case of Grade 3 BCIS where POCUS examination revealed a massive clot in the right atrium, which supports the diagnosis.