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What is the risk of death or severe harm due to bone cement implantation syndrome among patients undergoing hip hemiarthroplasty for fractured neck of femur? A patient safety surveillance study
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  • Published on:
    BCIS in hemiarthroplasty
    • Anoop G. Jose, Medical Student
    • Other Contributors:
      • Anup Kumar Shetty and Raja Swaminathan

    We found this to be an interesting and thought-provoking article about a relatively less known condition, bone cement implantation syndrome (BCIS).(1) There are clear advantages and disadvantages to the use of cement in hemiarthroplasty, and this data illustrates the infrequent incidence of BCIS whilst emphasising the ever-present risk of serious harm to the patient. As such, it should be worth mentioning the risk of BCIS...

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    Conflict of Interest:
    None declared.
  • Published on:
    Our Trusts innovative approach to reduce bone cement risk and improve patient safety.
    • Stephen C Sandys, Anaesthetic trainee ST4
    • Other Contributors:
      • Dr A Scase. Consultant anaesthetist.

    We read with interest the paper by Rutter et al describing the frequency and severity of bone cement syndrome.(1)

    Working in a busy Major Trauma Centre and teaching hospital, we treat a large number of patients with fractured neck of femurs and many of these have cemented hip arthroplasties. Along with most hospitals entering data into the National Hip fracture database (NHFD) we took part in the Anaesthetic Spri...

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    Conflict of Interest:
    None declared.
  • Published on:
    Bone Cement Implantation syndrome is more common than
    • Stuart M White, Consultant Anaesthetist
    • Other Contributors:
      • Richard Griffiths, Iain Moppett

    Sir -

    We read Rutter et al.'s excellent BMJ Open paper on Bone Cement Implantation Syndrome (BCIS) prevalence with considerable interest, but fear that fatal BCIS may be more prevalent than the 1:2900 figure reported [1].

    The recently published Anaesthesia Sprint Audit of Practice report, involving the prospective (and accurate) audit of 11 000 UK patients over 3 months in 2013 conducted in conjunction...

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    Conflict of Interest:
    None declared.