A 59-year-old female presented with worsening shortness of breath and chest pain in the postoperative anesthesia care unit 2 h after vertebroplasty with cementing. Stat chest computed tomography revealed intracardial foreign body and pericardial effusion (panel A). Considering the recent cementing, the foreign body was suspected to be cement. An urgent surgical intervention was prepared. After induction, transesophageal echocardiography showed pericardial effusion and a highly echogenic object floating in the right atrium and right ventricle with one end pointing to the right ventricle free wall (panel B). The chest was opened under cardiopulmonary bypass and transesophageal echocardiography guidance. U-shaped cement with a 5-cm long arm and 4-cm short arm was removed from the right atrium (panel C). The cement was rigid and both ends were sharp. Vertebroplasty with cementing can cause cement embolism,1 more...
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Education| September 2021
Intracardial Cement in Postanesthesia Care Unit
Changlong Qiao, M.D.;
Meng Lv, M.D., Ph.D.;
From the Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Shandong Institute of Anesthesia and Respiratory Critical Care Medicine, Jinan, China.
Correspondence: Address correspondence to Dr. Wang: email@example.com
Anesthesiology Newly Published on September 2021. doi:
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Changlong Qiao, Meng Lv, Yuelan Wang; Intracardial Cement in Postanesthesia Care Unit. Anesthesiology Newly Published on September 14, 2021. doi: https://doi.org/10.1097/ALN.0000000000003957
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Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018: A Report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology