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A 51 year old male was admitted in our hospital with fracture neck of right femur and posted for bipolar hemiarthroplasty. Spinal anaesthesia was given in L2L3 space using 3.5ml 0.5% bupivacaine heavy with 25mcg fentanyl, with 25G quincke needle. During application of the high viscosity gentamycin bone cement, patient developed severe hypotension, bradycardia, hypoxia and cardiac arrest. High quality CPR started immediately, patient intubated and intravenous adrenaline 1mg given. After successful resuscitation surgery continued under general anaesthesia. Patient was post operatively ventilated and monitored in surgical ICU for next 6 hours and he made a full recovery.

Bone Cement Implantation Syndrome ( BCIS ) – A Case Report