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The Archives of Bone and Joint Surgery، جلد ۲، شماره ۳، صفحات ۱۶۳-۱۶۷
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عنوان انگلیسی Hemodynamic and Arterial Blood Gas Parameters during Cemented Hip Hemiarthroplasty in Elderly Patients
چکیده انگلیسی مقاله Background: Patients undergoing cemented hip hemiarthroplasty may develop bone cement implantation syndrome (BCIS) which is a leading cause of intraoperative complications. The purpose of this study was to evaluate cardiovascular changes during cemented hip hemiarthroplasty in elderly patients. Methods: Cemented hip hemiarthroplasty was performed on 72 patients with femoral neck fracture. All patients were catheterized with a radial artery catheter to assess mean arterial pressure (MAP) and arterial blood gas (ABG) in these time points: just before cementation, just after cementation (0th), 5 min (5th) and 10 min (10th ) after cementation, and at the end of surgery (END). Also, systolic and diastolic blood pressure (SBP & DBP), heart rate and any arrhythmia or cardiac arrest was evaluated. Results: Seventy-two patients (33 females, 39 males; mean age: 66.8±7 years) were evaluated. All parameters changed during cementation with a significant drop in MAP, SBP, and DBP immediately after cementation and pH and base excess decreased significantly (P< 0.001) with no changes in O2 saturation. Mean heart rate rose until the 5th and then decreased dramatically with no bradycardia presentation. During cementation, 12 patients showed arrhythmia, but no cardiac-arrest was observed. Conclusions: Under strict observation of a anesthesiology care team, hemiarthroplasty can be a safe method for femoral neck fracture in elderly osteoporotic patients without severe cardiopulmonary compromise. 
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نویسندگان مقاله مهران سلیمانها | mehran soleymanha
department of orthopedics, assistant professor, guilan university of medical science, rasht, iran

سازمان اصلی تایید شده: دانشگاه گیلان (Guilan university)

عباس sedighinejhad | abbas sedighinejhad
2. department of anesthesiology, associated professor, guilan university of medical science, rasht, iran

سازمان اصلی تایید شده: دانشگاه گیلان (Guilan university)

محمد حقیقی | mohammad haghighi
associated professor anesthesiology research center guilan university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی گیلان (Guilan university of medical sciences)

بهرام نادری | bahram naderi
department of anesthesiology, assistant professor, guilan university of medical science, rasht, iran

سازمان اصلی تایید شده: دانشگاه گیلان (Guilan university)

احمدرضا میربلوک | ahmadreza mirblok
department of orthopedics, assistant professor, guilan university of medical science, rasht, iran

سازمان اصلی تایید شده: دانشگاه گیلان (Guilan university)

محسن مردانی کیوی | mohsen mardani kivi
department of orthopedics, assistant professor, guilan university of medical science, rasht, iran

سازمان اصلی تایید شده: دانشگاه گیلان (Guilan university)

نشانی اینترنتی http://abjs.mums.ac.ir/article_3232.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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