{
  "abstract": "Background and Aims Bone Cement Implantation Syndrome (BCIS) is a severe complication in orthopedic surgery, characterized by hypoxia and/or hypotension during cementation. Its overall incidence is approximately 20%, with cardiovascular collapse occurring in 0.5–1.7% of cases, being more frequent in cemented hip arthroplasties, where it can reach up to 28%.Methods The objective of this clinical case is to highlight the presentation of BCIS in an elderly patient with multiple comorbidities undergoing hemiarthroplasty under regional anesthesia, emphasizing the importance of identifying risk factors and providing a prompt response to this complication, as well as recognizing the poor prognosis in patients with limited physiological reserve.Results This report describes the case of an 84-year-old female patient with dementia, sleep apnea, chronic kidney disease, myeloproliferative neoplasm, heart failure, and atrial fibrillation who underwent a hemiarthroplasty for a subcapital femoral fracture. During cementation, she experienced severe hypotension and oxygen desaturation to 60%, requiring the administration of vasopressors and 100% oxygen. Although partial recovery was achieved, the patient developed respiratory failure, anemia, and altered consciousness in the immediate postoperative period. Given her baseline condition and unfavorable evolution, comfort measures were prioritized, and the patient died 26 hours after surgery.Conclusions This case underscores the importance of preoperative identification of high-risk patients for BCIS. The prognosis remains poor in patients with limited physiological reserve, justifying, in some cases, the limitation of therapeutic efforts.",
  "authors": [
    {
      "affiliations": [
        "Hospital de Mataró, Mataró, Spain"
      ],
      "name": "Claudia Izquierdo"
    },
    {
      "affiliations": [
        "Anesthesia, Hospital de Mataró, Mataró, Spain"
      ],
      "name": "Verónica Díaz-Oncala"
    },
    {
      "affiliations": [
        "Anesthesia, Hospital de Mataró, Mataró, Spain"
      ],
      "name": "Daniel Perez"
    },
    {
      "affiliations": [
        "Anesthesia, Hospital de Mataró, Mataró, Spain"
      ],
      "name": "Francisco Añez"
    },
    {
      "affiliations": [
        "Anesthesia, Hospital de Mataró, Mataró, Spain"
      ],
      "name": "Karlos Albiger"
    }
  ],
  "title": "P071 Bone cement and cardiovascular collapse: are we ready for BCIS?",
  "uid": "ae05cb3c-a16a-50a4-8fe6-8b17b6e74621"
}