Bone Cement Implantation Syndrome

Bone Cement Implantation Syndrome (BCIS) is a potentially fatal complication of orthopaedic surgery, involving pressurised bone cement.
BCIS is characterised by hypoxia and/or hypotension (with potential loss of consciousness), occurring around the time of bone cementation. The incidence of BCIS in relevant orthopaedic procedures is approximately 20%, and the incidence of a severe reaction resulting in cardiovascular collapse within this group is 0.5-1.7%. The ability to predict, recognise, and manage BCIS in the perioperative setting is important for every anaesthesia provider. Read more