As of a December 2006 publication, the Pennsylvania Patient Safety Reporting System had received reports of six intraoperative cardiac arrests in patients—five resulting in death—associated with hip arthroplasties using bone cement to implant prostheses.
An elderly female presented via ambulance following a fall at home. She was diagnosed as having a fracture of the left femoral neck. The patient was medically cleared for surgery based upon physical examination, normal lab work, and a normal electrocardiogram. An urgent left hemiarthroplasty was performed under spinal anesthesia. Intraoperatively, after cementing of the prosthesis, the patient developed hypotension, bradycardia, and cardiac arrest. The surgical field was covered, and the patient was placed in supine position for cardiopulmonary resuscitation. The patient did not respond to resuscitative measures, and she expired.
The preceding account from an event reported through PA-PSRS is an example of the onset of some BCIS symptoms in a patient.
Excerpted from: Bone cement implantation syndrome. PA PSRS Patient Saf Advis 2006 Dec. http://patientsafety.pa.gov/ADVISORIES/Pages/200612_01b.aspx.