Hines Cheryl B, Collins-Yoder Angela
AORN J. 2019 Feb;109(2):202-216. doi: 10.1002/aorn.12584.
Bone cement implantation syndrome (BCIS) is a potentially fatal complication of orthopedic surgeries that use cement. The symptoms of BCIS occur primarily during femoral fracture repairs, but this complication has been reported in a wide variety of cemented procedures. Clinical presentation of this syndrome begins as a cascade with hypoxia and hypotension; if it is not reversed, it ends with right-sided heart failure and cardiac arrest. This syndrome usually occurs at cementation, prosthesis insertion, joint reduction, or tourniquet deflation, and should be treated with aggressive resuscitation and supportive care. This article provides a comprehensive explanation of bone cement, the identification and management of BCIS, and the roles of the perioperative team in the event of cardiopulmonary collapse. It includes a case study that can be used as an educational tool for simulation, mock drills, or staff meetings; it also may be used as a framework for creating policies.
骨水泥植入综合征（BCIS）是使用骨水泥的骨科手术中一种潜在的致命并发症。BCIS的症状主要出现在股骨骨折修复过程中，但在各种骨水泥固定手术中均有该并发症的报道。该综合征的临床表现始于一系列的缺氧和低血压症状；若不加以纠正，最终会导致右心衰竭和心脏骤停。这种综合征通常发生在骨水泥注入、假体植入、关节复位或止血带放气时，应积极进行复苏和支持治疗。本文全面解释了骨水泥、BCIS的识别与管理，以及围手术期团队在心肺功能衰竭事件中的作用。文中包含一个案例研究，可作为模拟、演练或员工会议的教育工具；也可作为制定政策的框架。
