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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2014, Number 1

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Acta Ortop Mex 2014; 28 (1)

Gas embolism after the use of the CarboJet® lavage system during hip hemiarthroplasty: clinical case and literature review

Lax-Pérez R, Ferrero-Manzanal F, Marín-Peña O, Murcia-Asensio A

Language: Spanish
References: 16
Page: 45-48
PDF size: 181.21 Kb.


ABSTRACT

Case report of an 89 year-old patient who had cardiorespiratory arrest during cemented hip hemiarthroplasty and required cardiopulmonary resuscitation. This complication occurred immediately after using the carbon dioxide-based lavage system known as CarboJet® and was attributed to gas embolism once other entities were ruled out. The possible factors that may contribute to this surgical complication are discussed.


REFERENCES

  1. Miyamoto RG, Kaplan KM, Levine BR, Egol KA, Zuckerman JD: Surgical management of hip fractures: an evidence-based review of the literature. I: femoral neck fractures. J Am Acad Orthop Surg. 2008; 16: 596-607.

  2. Farahmand BY, Michaelsson K, Ahlbom A, Ljunghall S, Baron JA: Survival after hip fracture. Osteoporos Int. 2005; 16: 1583-90.

  3. Schneppendahl J, Betsch M, Petrov V, Bottner F, Thelen S, Grassmann JP, et al: Recovery after hip fractures: influence of bipolar hemiarthroplasty on physical disability and social dependency in the elderly. Hip Int. 2011; 21: 751-6.

  4. Azegami S, Gurusamy KS, Parker MJ: Cemented versus uncemented hemiarthroplasty for hip fractures: a systematic review of randomized controlled trials. Hip Int. 2011; 21: 509-17.

  5. Halawa M, Lee AJ, Ling RS, Vangala SS: The shear strength of trabecular bone from the femur, and some factors affecting the shear strength of the cement-bone interface. Arch Orthop Trauma Surg. 1978; 92: 19-30.

  6. Harvey PB, Smith JA: Prevention of air emboli in hip surgery. Femoral shaft insufflation with carbon dioxide. Anaesthesia. 1982; 37: 714-7.

  7. Kalteis T, Pforringer D, Herold T, Handel M, Renkawitz T, Plitz W: An experimental comparison of different devices for pulsatile high-pressure lavage and their relevance to cement intrusion into cancellous bone. Arch Orthop Trauma Surg. 2007; 127: 873-7.

  8. García-Martínez MR, Veiga-Ruíz GM, Rodríguez-Pérez JM, Lax-Pérez R: Air embolism after cleaning the intramedullary canal with a high pressure CO2 wash in hip fracture. Rev Esp Anestesiol Reanim. 2013; 60(6): 353-4.

  9. Benjamín JB, Gie GA, Lee AJ, Ling RS, Volz RG: Cementing technique and the effects of bleeding. J Bone Joint Surg Br. 1987; 69: 620-4.

  10. Parvizi J, Holiday AD, Ereth MH, Lewallen DG: The frank stinchfield award. Sudden death during primary hip arthroplasty. Clin Orthop Relat Res. 1999; 369: 39-48.

  11. Sierra RJ, Timperley JA, Gie GA: Contemporary cementing technique and mortality during and after Exeter total hip arthroplasty. J Arthroplasty. 2009; 24: 325-32.

  12. Donaldson AJ, Thomson HE, Harper NJ, Kenny NW: Bone cement implantation syndrome. Br J Anaesth. 2009; 102: 12-22.

  13. Michel R: Air embolism in hip surgery. Anaesthesia. 1980; 35: 858-62.

  14. Uchida S, Yamamoto M, Masaoka Y, Mikouchi H, Nishizaki: A case of acute pulmonary embolism and acute myocardial infarction with suspected paradoxical embolism after laparoscopic surgery. Heart Vessels. 1999; 14: 197-200.

  15. Edmonds CR, Barbut D, Hager D, Sharrock NE: Intraoperative cerebral arterial embolization during total hip arthroplasty. Anesthesiology. 2000; 93: 315-8.

  16. Sides CA: Pulsed saline lavage causing venous air embolism in a patient with Paget’s disease. Br J Anaesth. 1996; 76: 330-1.




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