title: A 70-year-old man with intraoperative hypoxia and hypotension during total hip replacement.
abstract: A 70-year-old man underwent total hip replacement surgery under general anesthesia, endotracheal intubation, and controlled ventilation, with the patient in left lateral position. Intraoperatively, the patient was hemodynamically stable, with a normal range of pulse, ECG trace, oxygen saturation as measured by pulse oximetry (Spo2), and end-tidal CO2 (etco2). Five minutes after insertion of the hip prosthesis, his heart rate dropped to 30 beats/min, BP to 40/30 mm Hg, Spo2 to 70%, and etco2 to 10 mm Hg.
authors.affiliation: From the Department of Adult Critical Care Medicine, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia. Electronic address: icu_mariam@yahoo.com.
authors.forename: Mariam A
authors.initials: MA
authors.lastname: Alansari
authors.affiliation: From the Department of Adult Critical Care Medicine, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Ahmed A
authors.initials: AA
authors.lastname: Abdulmomen
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001843:Bone Cements / Q000009:adverse effects*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D004617:Embolism / Q000150:complications* / Q000175:diagnosis; D017809:Fatal Outcome; D006339:Heart Rate; D006801:Humans; D007022:Hypotension / Q000175:diagnosis / Q000209:etiology*; D000860:Hypoxia / Q000175:diagnosis / Q000209:etiology*; D007431:Intraoperative Complications; D008297:Male; D010092:Oximetry; D013902:Radiography, Thoracic; D013577:Syndrome
chemical_list: D001843:Bone Cements