Methylmethacrylate

Case Synopsis

A 75-year-old woman presents for hemiarthroplasty after a femoral neck fracture. She has a history of hypertension, coronary artery disease, moderate pulmonary hypertension, and osteoporosis. Her medications include lisinopril and clopidogrel. The patient undergoes induction of general anesthesia, and the surgery proceeds uneventfully. During cementing of the prosthesis the patient develops severe hypotension, hypoxemia, and tachycardia.