Respiratory complications of bone cement insertion during total hip replacement under spinal anaesthesia.
A report is made of respiratory complications which occurred following the insertion of Palacos bone cement during Howse total hip replacement under spinal anaesthesia in a 78-year-old female patient. Persistent cough and tachypnoea developed 30 s after the insertion of bone cement into the acetabulum and femur and persisted for 2-3 min producing considerable passive movement of the pelvis and femur. The probable cause, disadvantages and prevention of these complications are discussed.
Lewis
R N
RN
South Shore Orthopaedic Hospital, Blackpool, UK.
D000368:Aged; D000775:Anesthesia, Spinal; D001843:Bone Cements / Q000009:adverse effects*; D002484:Cementation / Q000009:adverse effects*; D003371:Cough / Q000139:chemically induced / Q000209:etiology; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D007431:Intraoperative Complications; D012120:Respiration Disorders / Q000139:chemically induced / Q000209:etiology*
D001843:Bone Cements