A 70-year-old man with intraoperative hypoxia and hypotension during total hip replacement

Chest. 2014 Nov;146(5):e160-e162. doi: 10.1378/chest.14-0411.

Abstract

A 70-year-old man underwent total hip replacement surgery under general anesthesia, endotracheal intubation, and controlled ventilation, with the patient in left lateral position. Intraoperatively, the patient was hemodynamically stable, with a normal range of pulse, ECG trace, oxygen saturation as measured by pulse oximetry (Spo2), and end-tidal CO2 (etco2). Five minutes after insertion of the hip prosthesis, his heart rate dropped to 30 beats/min, BP to 40/30 mm Hg, Spo2 to 70%, and etco2 to 10 mm Hg.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Bone Cements / adverse effects*
  • Diagnosis, Differential
  • Echocardiography, Transesophageal
  • Electrocardiography
  • Embolism / complications*
  • Embolism / diagnosis
  • Fatal Outcome
  • Heart Rate
  • Humans
  • Hypotension / diagnosis
  • Hypotension / etiology*
  • Hypoxia / diagnosis
  • Hypoxia / etiology*
  • Intraoperative Complications*
  • Male
  • Oximetry
  • Radiography, Thoracic
  • Syndrome

Substances

  • Bone Cements