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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Main Authors: Walter Chunhong Huang, Pang Lee, Theodore Gar Ling Wong, Jerry Keng Tiong Tan, Nian Chih Hwang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Annals of Cardiac Anaesthesia
Subjects:
Online Access:http://www.annals.in/article.asp?issn=0971-9784;year=2021;volume=24;issue=3;spage=372;epage=374;aulast=Huang
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author Walter Chunhong Huang
Pang Lee
Theodore Gar Ling Wong
Jerry Keng Tiong Tan
Nian Chih Hwang
author_facet Walter Chunhong Huang
Pang Lee
Theodore Gar Ling Wong
Jerry Keng Tiong Tan
Nian Chih Hwang
author_sort Walter Chunhong Huang
collection DOAJ
description 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.
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spelling doaj.art-bb3ea2858b794df8a52f92fb8662296c2022-12-21T19:58:01ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842021-01-0124337237410.4103/aca.ACA_202_19Diagnosis of bone cement implantation syndrome using point of care ultrasound examinationWalter Chunhong HuangPang LeeTheodore Gar Ling WongJerry Keng Tiong TanNian Chih HwangOnce 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.http://www.annals.in/article.asp?issn=0971-9784;year=2021;volume=24;issue=3;spage=372;epage=374;aulast=Huangclotpulmonary arteryright atriumsaddle pulmonary embolismtransthoracic echocardiography
spellingShingle Walter Chunhong Huang
Pang Lee
Theodore Gar Ling Wong
Jerry Keng Tiong Tan
Nian Chih Hwang
Diagnosis of bone cement implantation syndrome using point of care ultrasound examination
Annals of Cardiac Anaesthesia
clot
pulmonary artery
right atrium
saddle pulmonary embolism
transthoracic echocardiography
title Diagnosis of bone cement implantation syndrome using point of care ultrasound examination
title_full Diagnosis of bone cement implantation syndrome using point of care ultrasound examination
title_fullStr Diagnosis of bone cement implantation syndrome using point of care ultrasound examination
title_full_unstemmed Diagnosis of bone cement implantation syndrome using point of care ultrasound examination
title_short Diagnosis of bone cement implantation syndrome using point of care ultrasound examination
title_sort diagnosis of bone cement implantation syndrome using point of care ultrasound examination
topic clot
pulmonary artery
right atrium
saddle pulmonary embolism
transthoracic echocardiography
url http://www.annals.in/article.asp?issn=0971-9784;year=2021;volume=24;issue=3;spage=372;epage=374;aulast=Huang
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