The purpose of this paper is to investigate cardiovascular effects of bone cement and to discuss about anesthetic management for total hip replacement.
54 patients were statistically studied. A fall in B. P. was greater on cementing into the femur than into the acetabulum.
Oneset time of the maximum fall was within one minute and the hypotension did not last longer than five minutes.
Arterial oxygen tension also fell after cement insertion but none of untowards reactions were encountered.
As far as anesthetic method concerns, epidural anesthesia seemed to be favourable because blood loss was considerably less and the degree of hypotensive response to cementing was also slight.
