Leonardo B Figueiredo

Hospital Felício Rocho, Unidade do Aparelho Locomotor, 30110-908, Belo Horizonte, MG, Brazil

Publications

• Original Article   
  Bone Cement Implantation Syndrome in Cemented Hip Arthroplasty: Hypothetization of a New Therapeutic Approach and Proposition of a Treatment Algorithm
  Author(s): Leandro EN Santos*, Leonardo B Figueiredo, Lucas A Santos, Daniel S Baumfeld, Thiago L Lima, Marco AP Andrade and Robinson E Pires
  
  Purpose: Management of bone cement implantation syndrome (BCIS) during or immediately after hip arthroplasty (HA) is difficult and often leads to mortality. We have reviewed the medical records of patients submitted to HA at our institution and propose a standard operating procedure (SOP) for the event of cardiogenic shock. Methods: SOP was based on the analysis of the medical records of patients who had been submitted to cemented (n = 250) or uncemented (n = 408) HA, three of whom died because of BCIS, and on the individual experiences of the surgical team, taking into consideration the pathophysiology of acute right ventricular failure. Results: The proposed SOP involves the use of extracorporeal membrane oxygenation (ECMO) as a complementary therapy to mechanical ventilation with the purpose of improvin.. Read More»