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June 1, 1977Clinical Pharmacology & Therapeutics

Cardiovascular effects of total hip placement in man; With observations on the effects of methyl methacrylate on the isolated rabbit heart

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Key result

Placement of acrylic cement during total hip replacement induced mild cardiovascular depression that was not statistically significant (p>0.05).

Why the study?

Does total hip placement with acrylic cement and methylmethacrylate exposure cause cardiovascular depression?

Population

10 surgical patients aged 55 to 82 undergoing total hip placement, and 24 isolated perfused rabbit hearts.

Design

Other

Follow-up

acute/intraoperative

Authors

KWK. C. WongPoznan University of Medical SciencesWMWayne E. MartinUniversity of WashingtonWKWilliam F. KennedyBeaumont Hospital

Discussion

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Implication

Mild nonsignificant depression during cement placement supports no practice change; leaves open dose-dependent risks for prospective study.

Study Design

Type

Observational (n=10)

Structured PICO

Does total hip placement with acrylic cement and methylmethacrylate exposure cause cardiovascular depression?

P
Population
10 surgical patients, aged 55 to 82, undergoing total hip placement under fluroxene-N2O-O2 anesthesia.
E
Exposure
Total hip placement with acrylic cement (clinical); Methylmethacrylate administration (1 X 10(-6) to 1 X 10(-4), v/v) (preclinical)
O
Outcome
Cardiovascular depression (including cardiac output, stroke volume, left ventricular dP/dt, and heart rate)surrogate

Main Result

p-value: p=>0.05

Methylmethacrylate used in total hip placement can cause dose-dependent myocardial depression and bradycardia, which may be mitigated by pacing or atropine.

Cite This Study

Wong et al. (1977) conducted an observational in Total hip placement (n=10). Placement of acrylic cement (methyl methacrylate) was evaluated on Cardiovascular depression (p=>0.05). Placement of acrylic cement during total hip replacement induced mild cardiovascular depression that was not statistically significant (p>0.05).

synapsesocial.com/papers/6a629eb60ee61e9ea5c3c86fhttps://doi.org/10.1002/cpt1977216709
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Also Consider

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  1. 1Cardiovascular Effects of Methylmethacrylate Cement1972 · 136 citations
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  4. 4Methylmethacrylate monomer produces direct relaxation of vascular smooth musclein vitro1995 · 50 citations
  5. 5Cardiovascular Effects of Implanted Acrylic Bone Cement1971 · 131 citations