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- W4299668569 abstract "A canine laboratory and clinical study was designed to determine the effect of air embolism during hip arthroplasty. Canine femurs were pressurized with air to 250–300 mm Hg or with low-viscosity cement to 300–900 mm Hg. Pressurization with low-viscosity cement from distal to proximal with a plugged femur revealed no change in pO2, pCO2, pulmonary artery pressure, or end-tidal CO2. Air pressurization resulted in significant increases in pCO2, pulmonary artery pressure, and end-tidal CO2, and a decrease in pO2. Pressurization of the medullary canal with xenon-labeled air was used to document pulmonary embolism. In a clinical setting, two different femoral cementing techniques during total hip arthroplasty were studied to determine their effect on hemodynamic parameters associated with embolic phenomenon. Five patients had a plugged femoral canal filled from proximal to distal with a vent tube, followed by finger-packing. Three of the patients demonstrated a significant drop in pO2 and blood pressure and a rise in pCO2 and end-tidal CO2. Five other patients had their plugged femoral canals filled from distal to proximal, three with regular cement and two with low-viscosity cement, with no significant cardiopulmonary changes. The adverse cardiopulmonary effects reported during hip arthroplasty appear to be avoided by eliminating air during the cementing procedure, by filling a plugged canal from distal to proximal." @default.
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- W4299668569 date "1987-05-01" @default.
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- W4299668569 title "The Effect of Air Embolization from the Femoral Canal on Hemodynamic Parameters During Hip Arthroplasty" @default.
- W4299668569 doi "https://doi.org/10.1097/00003086-198705000-00039" @default.
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