Sugimoto K, Mano R, Tanaka K, Hirate H, Yamada T, Ishikawa K
Department of Anesthesiology and Intensive Care, Nagoya Daini Red Cross Hospital.
Masui. 1998 Sep;47(9):1131-3.
A 65-year-old female with pulmonary tuberculosis and systemic sarcoidosis developed sudden cardiac arrest after the use of bone cement in cementedendoprosthesis of the femoral head. Cardiac arrest was difficult to manage with ordinary CPR and PCPS was immediately instituted. After resuscitation, the patient suffered from intraabdominal hemorrhage due to hepatic injury caused by CPR. On the 1st post-operative day the patient required surgical treatment to stop bleeding and was then weaned from PCPS. The patient required ventilatory support over next 7 days, but survived without neurological sequelae. When anesthetizing an elderly patient with preexisting cardiopulmonary disease for cementedendoprosthesis, PCPS should be considered in case of cardiac arrest due to the use of bone cement.
