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Some studies of the complement system during total hip replacement using bone cement under general anaesthesia

Published online by Cambridge University Press:  16 August 2006

R. N. Lewis
Affiliation:
South Shore Orthopaedic Hospital, Stony Hill Avenue, Blackpool FY4 1HX, UK
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Abstract

Fourteen patients who underwent Charnley or Howse total hip replacement using CMW bone cement were studied. Mean values of C4 and C3 determined before the induction of anaesthesia and insertion of bone cement and also after this procedure showed no significant difference and were within the normal range. Furthermore, no evidence of C3 breakdown products was found. It was therefore concluded that neither the general anaesthetic technique nor the insertion of bone cement activated the classical or alternative complement pathways and such a mechanism was not responsible for the hypotension which occurred shortly after the insertion of bone cement in 10 cases studied.

Type
Original Article
Copyright
1997 European Society of Anaesthesiology

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