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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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Annals of Cardiac Anaesthesia |
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| 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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doaj-bb3ea2858b794df8a52f92fb8662296c2021-07-27T04:11:44ZengWolters 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 |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Walter Chunhong Huang Pang Lee Theodore Gar Ling Wong Jerry Keng Tiong Tan Nian Chih Hwang |
| 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 |
| author_facet |
Walter Chunhong Huang Pang Lee Theodore Gar Ling Wong Jerry Keng Tiong Tan Nian Chih Hwang |
| author_sort |
Walter Chunhong Huang |
| title |
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_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_sort |
diagnosis of bone cement implantation syndrome using point of care ultrasound examination |
| publisher |
Wolters Kluwer Medknow Publications |
| series |
Annals of Cardiac Anaesthesia |
| issn |
0971-9784 |
| publishDate |
2021-01-01 |
| 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. |
| 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 |
| work_keys_str_mv |
AT walterchunhonghuang diagnosisofbonecementimplantationsyndromeusingpointofcareultrasoundexamination AT panglee diagnosisofbonecementimplantationsyndromeusingpointofcareultrasoundexamination AT theodoregarlingwong diagnosisofbonecementimplantationsyndromeusingpointofcareultrasoundexamination AT jerrykengtiongtan diagnosisofbonecementimplantationsyndromeusingpointofcareultrasoundexamination AT nianchihhwang diagnosisofbonecementimplantationsyndromeusingpointofcareultrasoundexamination |
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