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Korean J Crit Care Med > Volume 13(2); 1998 > Article
Korean Journal of Critical Care Medicine 1998;13(2): 249-253.
전고관절성형술시 Acrylic Cement부착 후에 발생한 심정지
김상범, 이 홍, 김성태, 안창근
국립의료원 마취과학교실
Cardiac Arrest Following Methylmethacrylate Bone Cement during Total Hip Replacement: A case report
Sang Bum Kim, Hong Lee, Seong Tae Kim, Chang Kun An
Department of Anesthesiology, National Medical Center, Seoul, Korea.
ABSTRACT
Cardiovascular reactions to acrylic bone cement in patients with total hip replacement are a common complication. Hypotension and arrhythmias are the most frequently observed symptoms. Elderly patients with fractures of the femoral neck constitute a special risk group. In some patients these reactions will be fatal. The mechanisms suggested to explain these reactions are embolism of air, polymer or fat, reaction to the heat, and toxic or vasodilating effects of the acrylic monomer. It may be that potentially lethal complications only occur if two or more of the predisposing factors (hypovolemia, myocardial insufficiency, arrhythmia, embolism, histamine release) are present simultaneously. We have experienced a case of complication following bone cement insertion under spinal anesthesia. This female patient was 91 years old with old myocardial infarction on EKG.
Key Words: Acrylic bone cement; Cardiac arrest; Hypotension; Methylmethacrylate; Total hip replacement
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