Author/Authors :
-، - نويسنده Department of Orthopedics, Assistant professor, Guilan University of medical science, Rasht, Iran Soleymanha, Mehran , -، - نويسنده 2. Department of Anesthesiology, Associated professor, Guilan University of medical science, Rasht, Iran Sedighinejhad, Abbas , -، - نويسنده associated professor
anesthesiology research center
guilan university of medical sciences Haghighi, Mohammad , -، - نويسنده Department of Anesthesiology, Assistant professor, Guilan University of medical science, Rasht, Iran Naderi, Bahram , -، - نويسنده Department of Orthopedics, Assistant professor, Guilan University of medical science, Rasht, Iran Mirblok, Ahmadreza , -، - نويسنده Department of Orthopedics, Assistant professor, Guilan University of medical science, Rasht, Iran Mardani kivi, Mohsen
Abstract :
Background: Patients undergoing cemented hip hemiarthroplasty may develop bone cement implantation syndrome (BCIS) which is a leading cause of intraoperative complications. The purpose of this study was to evaluate cardiovascular changes during cemented hip hemiarthroplasty in elderly patients. Methods: Cemented hip hemiarthroplasty was performed on 72 patients with femoral neck fracture. All patients were catheterized with a radial artery catheter to assess mean arterial pressure (MAP) and arterial blood gas (ABG) in these time points: just before cementation, just after cementation (0th), 5 min (5th) and 10 min (10th ) after cementation, and at the end of surgery (END). Also, systolic and diastolic blood pressure (SBP & DBP), heart rate and any arrhythmia or cardiac arrest was evaluated. Results: Seventy-two patients (33 females, 39 males; mean age: 66.8±7 years) were evaluated. All parameters changed during cementation with a significant drop in MAP, SBP, and DBP immediately after cementation and pH and base excess decreased significantly (P<0.001) with no changes in O2 saturation. Mean heart rate rose until the 5th and then decreased dramatically with no bradycardia presentation. During cementation, 12 patients showed arrhythmia, but no cardiac-arrest was observed. Conclusions: Under strict observation of a anesthesiology care team, hemiarthroplasty can be a safe method for femoral neck fracture in elderly osteoporotic patients without severe cardiopulmonary compromise.
