Síndrome de implantación del cemento

Bone cement implantation syndrome (BCIS) is an important cause of morbidity and mortality in patients undergoing cemented hip replacement. It seems to have an embolic origin and is associated with the cement application process. Bone cement implantation syndrome is characterised by arterial hypotension, hypoxia, loss of consciousness, pulmonary hypertension, right ventricular failure, arrhythmias, and cardiac arrest. Bone cement implantation syndrome should be suspected if patients under general anaesthesia undergoing cemented hip replacement show a sharp fall in the end tidal CO2. Detailed knowledge of the risk factors for the bone cement implantation syndrome can help optimise the monitoring and to act appropriately on the first signs of bone cement implantation syndrome.