Bone Cement Implantation Syndrome (BCIS) is a highly under­reported rare fatal complication of cementation, characterized by hypoxia, hypotension, cardiac arrhythmias, and cardiac arrest. Such intraoperative deaths are usually not reported. We report such a rare adverse complication of cementation in a 65 years old female who had fracture neck of femer and sustained a fatal cardiac arrest while performing cemented hemiarthroplasty, with aim to alert surgeons about rare, but serious harm due to BCIS and review the available literature, with aim to educate the them regarding risk, clinical features, preventive measures and management.

Keywords: Bone Cement; Cement Implantation Syndrome; Hemiarthroplasty