Title
Evaluating the risk factors for bone cement implantation syndrome in hip surgeries – A cross sectional observational study
Authors
Rashmi Pal, J. Bindu Niharika* & Pooja vaskle
Affiliation
Department of Anesthesiology, MGM Medical College and M.Y. Hospital, Madhya Pradesh, India; *Corresponding author
Rashmi Pal - E-mail: rashmidrpal@gmail.com
J. Bindu Niharika - E-mail: niharika2048@gmail.com
Pooja Vaskle - E-mail: dr.poojavaskle1110@gmail.com
Article Type
Research Article
Date
Received October 1, 2025; Revised November 15, 2025; Accepted November 15, 2025, Published November 15, 2025
Abstract
Bone cement implantation syndrome (BCIS) is a serious complication seen in cemented hip surgeries, causing hypoxia, hypotension and cardiovascular collapse but Indian studies on risk factors are limited. In this prospective study of 50 patients at MGM Medical College Indore, BCIS occurred in 20% cases (n=10), mostly mild Grade 1 (80%). Elderly patients (mean age 77.7 ± 4.6 years, p=0.001), ASA grade 3 (p=0.001), COPD (40%, p=0.001), hypertension (70%, p=0.012) and long-stem prosthesis (60%, p=0.006) showed higher risk. BCIS patients had significant fall in heart rate, BP and oxygen levels within first 30 minutes of cement insertion, needing urgent vasopressors and steroids. Gender, diabetes and fracture type were not linked to BCIS, highlighting the need for early identification and close monitoring in high-risk groups.
Keywords
Bone cements implantation syndrome (BCIS), intraoperative complications, risk factors, hemodynamic changes, anesthetic management.
Citation
Pal et al. Bioinformation 21(11): 3994-3999 (2025)
Edited by
P Kangueane
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
