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Song WS, Choi JC, Kim TH, et al. Effect of Pressurized Cement Insertion on Cardiopulmonary Parameters during Cemented Hip Hemiarthroplasty: A Randomized Prospective Study. Hip Pelvis. 2014;26(4):243-9doi: 10.5371/hp.2014.26.4.243.
Song, W. S., Choi, J. C., Kim, T. H., Oh, S. H., Park, S. R., & Park, B. H. (2014). Effect of Pressurized Cement Insertion on Cardiopulmonary Parameters during Cemented Hip Hemiarthroplasty: A Randomized Prospective Study. Hip & pelvis, 26(4), 243-9. https://doi.org/10.5371/hp.2014.26.4.243
Song, Woo Suk, et al. "Effect of Pressurized Cement Insertion on Cardiopulmonary Parameters during Cemented Hip Hemiarthroplasty: A Randomized Prospective Study." Hip & pelvis vol. 26,4 (2014): 243-9. doi: https://doi.org/10.5371/hp.2014.26.4.243
Song WS, Choi JC, Kim TH, Oh SH, Park SR, Park BH. Effect of Pressurized Cement Insertion on Cardiopulmonary Parameters during Cemented Hip Hemiarthroplasty: A Randomized Prospective Study. Hip Pelvis. 2014 Dec;26(4):243-9. doi: 10.5371/hp.2014.26.4.243. Epub 2014 Dec 31. PMID: 27536588; PMCID: PMC4971400.
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Hip Pelvis. 2014 Dec;26(4):243-9. doi: 10.5371/hp.2014.26.4.243. Epub 2014 Dec 31.

Effect of Pressurized Cement Insertion on Cardiopulmonary Parameters during Cemented Hip Hemiarthroplasty: A Randomized Prospective Study.

Hip & pelvis

Woo Suk Song, Joon Cheol Choi, Tae Hyun Kim, Sang Hoon Oh, Sub Ri Park, Byoung Hark Park

Affiliations

  1. Department of Orthopedic Surgery, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea.
  2. Department of Anesthesiology, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea.

PMID: 27536588 PMCID: PMC4971400 DOI: 10.5371/hp.2014.26.4.243

Abstract

PURPOSE: We aimed to investigate the cardiopulmonary effects of pressurized cement insertion in elderly patients undergoing cemented hip hemiarthroplasty.

MATERIALS AND METHODS: We conducted a randomized prospective study on elderly patients undergoing cemented hip hemiarthroplasty. Patients were divided into pressurized and non-pressurized groups based on the pressure application during cement insertion. We measured mean arterial blood pressure (MAP), systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), arterial blood gases and serotonin concentration in blood. These variables were measured before bone cement insertion, and 3 and 5 minute after insertion. They were also measured immediately and 15 minutes after reduction.

RESULTS: In cemented hip hemiarthroplasty, there were no significant change in MAP (P=0.92), SBP (P=0.85), DBP (P=0.98), HR (P=0.97) and serotonin concentration over time. There were no statistically significant difference between the two groups in MAP, SBP, DBP, HR, PO2, PaCO2, SaO2 and serotonin concentration, though three minutes after cement insertion, both groups showed decreases in SBP, DBP and MBP.

CONCLUSION: The pressurization method in cemented hip hemiarthroplasty was not found to be related with development of bone cement syndromes in elderly patients.

Keywords: Bone cement syndrome; Elderly patients; Hip arthroplasty; Pressurization

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