Hemodynamic and Arterial Blood Gas Parameters during Cemented Hip Hemiarthroplasty in Elderly Patients

Document Type : RESEARCH PAPER

Authors

1 Department of Orthopedics, Assistant professor, Guilan University of medical science, Rasht, Iran

2 2. Department of Anesthesiology, Associated professor, Guilan University of medical science, Rasht, Iran

3 associated professor anesthesiology research center guilan university of medical sciences

4 Department of Anesthesiology, Assistant professor, Guilan University of medical science, Rasht, Iran

Abstract

Background:
 Patients undergoing cemented hip hemiarthroplasty may develop bone cement implantation syndrome (BCIS) which is a leading cause of intraoperative complications. The purpose of this study was to evaluate cardiovascular changes during cemented hip hemiarthroplasty in elderly patients.  
Methods:
 Cemented hip hemiarthroplasty was performed on 72 patients with femoral neck fracture. All patients were catheterized with a radial artery catheter to assess mean arterial pressure (MAP) and arterial blood gas (ABG) in these time points: just before cementation, just after cementation (0th), 5 min (5th) and 10 min (10th ) after cementation, and at the end of surgery (END). Also, systolic and diastolic blood pressure (SBP & DBP), heart rate and any arrhythmia or cardiac arrest was evaluated.
 Results:
 Seventy-two patients (33 females, 39 males; mean age: 66.8±7 years) were evaluated. All parameters changed during cementation with a significant drop in MAP, SBP, and DBP immediately after cementation and pH and base excess decreased significantly (P<0.001) with no changes in O2 saturation. Mean heart rate rose until the 5th and then decreased dramatically with no bradycardia presentation. During cementation, 12 patients showed arrhythmia, but no cardiac-arrest was observed.  
Conclusions:
 Under strict observation of a anesthesiology care team, hemiarthroplasty can be a safe method for femoral neck fracture in elderly osteoporotic patients without severe cardiopulmonary compromise. 

Keywords

References

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The Archives of Bone and Joint Surgery
Volume 2, Issue 3 - Serial Number 3
September 2014
Pages 163-167

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History

  • Receive Date: 24 April 2014
  • Revise Date: 29 June 2014
  • Accept Date: 20 July 2014

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