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Changes in blood pressure during cemented hemiarthroplasty for hip fracture in elderly patients under spinal anaesthesia

Funahashi, Hiroto Iwase, Toshiki Morita, Daigo 名古屋大学

2020.11

概要

Blood pressure changes around cement insertion during total hip arthroplasty have been investigated; however, there is little agreement regarding whether a similar phenomenon occurs during hemiarthroplasty in the elderly under spinal anaesthesia. Therefore, our objective was to examine blood pressure around cement insertion during hemiarthroplasty in the elderly. For this retrospective, single-centre, case series study, we identified 430 hips of patients aged >65 years who underwent cemented hemiarthroplasty under spinal anaesthesia from January 2010 to August 2018. The maximum regulation ratio (MRR) was used to express changes in blood pressure immediately after cement insertion and was calculated as follows: the greatest difference (positive or negative) during 5 min after cement insertion into the bone canal divided by systolic blood pressure just before cement insertion. The timings of vasopressor administration and blood transfusion were recorded. The median MRR was compared for each American Society of Anesthesiolo-gists (ASA) classification. The mean MRR was 4.0% (SD:10.4; range −26 to 83). MRR of patients with a >10% increase in blood pressure was significantly less than that of patients with a <10% change in blood pressure. Vasopressor was used in three patients 10 min after cement insertion into the bone canal. There was no significant difference between MRR groups and ASA classification (p = 0.182, respectively). MRR was not significantly different for each ASA classification. However, few cases showed a reduction in blood pressure immediately after cement insertion, regardless of ASA classification.

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参考文献

1. Brox WT, Roberts KC, Takashi S, et al. The American Academy of Orthopaedic Surgeons Evidence-Based

Guideline on Management of Hip Fractures in the Elderly. J Bone Joint Surg Am. 2015;97:1196–1199.

doi:10.2106/JBJS.O.00229

2. Langslet E, Frihagen F, Opland V, Madsen JE, Nordsletten L, Figved W. Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures. Clin Orthop Relat Res. 2009;467:2426–2435. doi:10.1007/

s11999-008-0672-y

3. Parker MJ, Gurusamy KS, Azegami S. Arthroplasties (with and without bone cement) for proximal femoral

fractures in adults. Cochrane Database Syst Rev. 2010;16:CD001706.

4. Sonne-Holm S, Walter S, Jensen JS. Moore hemi-arthroplasty with and without bone cement in femoral neck

fractures. A clinical controlled trial. Acta Orthop Scand. 1982;53:953–956. doi:10.3109/17453678208992854

5. Taylor F, Wright M, Zhu M. Hemiarthroplasty of the hip with and without cement: a randomized clinical

trial. J Bone Joint Surg Am. 2012;94:577–583. doi: 10.2106/JBJS.K.00006.

6. Parvizi J, Holiday AD, Ereth MH, Lewallen DG. The Frank Stinchfield Award. Sudden death during primary

hip arthroplasty. Clin Orthop Relat Res. 1999;369:39–48. doi:10.1097/00003086-199912000-00005

7. Rinecker H. New clinico-pathophysiological studies on the bone cement implantation syndrome. Arch Orthop

Trauma Surg. 1980;97:263–274. doi:10.1007/bf00380707

8. Clark DI, Ahmed AB, Baxendale BR, Moran CG. Cardiac output during hemiarthroplasty of the hip. A

prospective, controlled trial of cemented andcementless prostheses. J Bone Joint Surg Br. 2001;83:414–418.

doi:10.1302/0301-620x.83b3.11477

9. Fujita H, Okumura T, Hara H, et al. Monitoring of blood pressure during total hip arthroplasty using the

interface bioactive bone cement (IBBC) technique. J Orthop Sci. 2015;20:347–356. doi: 10.1007/s00776014-0691-3

10. Park HJ, Kang H, Lee JW, Baek SM, Seo JS. Comparison of hemodynamic changes between old and very

old patients undergoing cemented bipolar hemiarthroplasty under spinal anaesthesia. Korean J Anesthesiol.

2015;68:37–42.

11. Guay J, Parker MJ, Gajendragadkar PR, Kopp S. Anaesthesia for hip fracture surgery in adults. Cochrane

Database Syst Rev. 2016;2:CD000521. doi: 10.4097/kjae.2015.68.1.37.

12. Christie J, Burnett R, Potts HR, Pell AC. Echocardiography of transatrial embolism during cemented and

uncemented hemiarthroplasty of the hip. J Bone Joint Surg Br. 1994;76:409–412.

13. Christie J, Robinson CM, Singer B, Ray DC. Medullary lavage reduces embolic phenomena and cardiopulmonary changes during cemented hemiarthroplasty. J Bone Joint Surg Br. 1995;77:456–459.

14. Lafont ND, Kalonji MK, Barre J, Guillaume C, Boogaerts JG. Clinical features and echocardiography of

embolism during cemented hip arthroplasty. Can J Anesth. 1997;44:112–117. doi:10.1007/BF03012997

675

Blood pressure during hemiarthroplasty

15. Lafont ND, Kostucki WM, Marchand PH, Michaux MN, Boogaerts JG. Embolism detected by transoesophageal echocardiography during hip arthroplasty. Can J Anaesth. 1994;41:850–853. doi:10.1007/BF03011592

16. Ereth MH, Weber JG, Abel MD, et al. Cemented versus noncemented total hip arthroplasty--embolism,

hemodynamics, and intrapulmonary shunting. Mayo Clinic Proc. 1992;67:1066–1074. doi: 10.1016/s00256196(12)61121-5.

17. Wheelwright EF, Byrick RJ, Wigglesworth DF, et al. Hypotension during cemented arthroplasty. Relationship

to cardiac output and fat embolism. J Bone Joint Surg Br. 1993;75:715–723.

18. Nolan JP. Arterial oxygenation and mean arterial blood pressure in patients undergoing total hip replacement:

cemented versus uncemented components. Anaesthesia. 1994;49:293–299. doi:10.111/j.1365-2044.1944.

tb14176.x

19. Miyamoto S, Nakamura J, Iida S, et al. The influence of bone cement and American Society of Anesthesiologists (ASA) class on cardiovascular status during bipolar hemiarthroplasty for displaced femoral-neck

fracture: A multicenter, prospective, case-control study. Orthop Traumatol Surg Res. 2018;104:687–694. doi:

10.1016/j.otsr.2018.03.014

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