Donaldson et al reported a severity classification for bone cement implantation syndrome (BCIS). The authors are from University Hospital of South Manchester and the Manchester Royal Infirmary in England.
Patient selection: bone cement implantation syndrome
Parameters:
(1) hypoxia as SpO2
(2) hypotension as fall in systolic blood pressure
(3) unexpected loss of consciousness (LOC)
(4) cardiovascular collapse requiring CPR
Hypoxia
Hypotension
LOC
CPR
Grade
moderate (88 to 93%)
NA
N
N
1
NA
moderate (fall 21 to 40%)
N
N
1
severe (< 88%)
NA
N
N
2
NA
severe (fall > 40%)
N
N
2
NA
NA
Y
N
2
NA
NA
NA
Y
3
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