[Alcohol: a risk factor for breast cancer].

A total of 53 epidemiological studies were found that investigated the relationship between breast cancer and the consumption of alcohol. These studies discovered that the risk increased with increasing alcohol consumption. Specifically, there was a 7% increase in risk with each 10 gr.

Axillary block complicated by hematoma and radial nerve injury.

Background And Objectives: Hematoma is typically cited as one mechanism of nerve injury following axillary block. However, documented cases of this are lacking.

Methods: A healthy 38-year-old man was scheduled for surgical removal of a tumor of the hand.

Prognosis of intraoperative brachial plexus injury: a review of 22 cases.

A retrospective review over 6 yr of patients presenting to the hand clinic was performed to identify cases of postoperative brachial plexopathy (PBP) and to assess both prognosis and early indices of prognosis. Over this period (1989-1995), 22 patients were referred by the hospital's surgical departments to the hand clinic because of PBP. Eight cases followed open heart surgery (OHS) and 14 followed non-cardiac surgery (NCS).

Intrathecal fentanyl with small-dose dilute bupivacaine: better anesthesia without prolonging recovery.

Unlabelled: Recent concern regarding lidocaine neurotoxicity has prompted efforts to find alternatives to lidocaine spinal anesthesia. Small-dose dilute bupivacaine spinal anesthesia yields a comparably rapid recovery profile but may provide insufficient anesthesia. By exploiting the synergism between intrathecal opioids and local anesthetics, it may be possible to augment the spinal anesthesia without prolonging recovery.

Spinal bupivacaine in ambulatory surgery: the effect of saline dilution.

The safety of lidocaine spinal anesthesia has recently been called into question by reports of both permanent and transient neurologic toxicity. This study explored the possibility of adapting the longer acting spinal bupivacaine to ambulatory surgery. Sixty patients presenting for ambulatory arthroscopy were randomized to four groups receiving the following spinal anesthetics: Group I (15 mg bupivacaine), 3 mL of 0.

The combination of morphine with local anaesthetic in rhinoplasty--no evidence of a peripheral morphine effect.

Background: The recognition of a peripheral opioid action has prompted a number of clinical reports demonstrating a prolonged analgesic effect of peripheral opiate. As most studies have used a model of intraarticular instillation of narcotic we examined direct morphine infiltration of the surgical site in a unique clinical model.

Methods: Sixty patients undergoing primary rhinoplasty were entered into this prospective, randomized, double-blind study.

The routine wearing of gloves: impact on the frequency of needlestick and percutaneous injury and on surface contamination in the operating room.

The impact of wearing gloves on surface contamination and on the incidence of percutaneous injury were prospectively compared for two 4-mo periods in a single anesthesia department. Period I was immediately prior to the institution of mandatory glove wearing, and Period II followed a 1-mo adjustment period of mandatory glove use. Recording of all needlestick and other percutaneous injuries was performed on an ongoing basis, and incident reporting was actively and regularly solicited.

Is preoperative ketorolac a useful adjunct to regional anesthesia for inguinal herniorrhaphy?

Background: Nonsteroidal antiinflammatory drugs (NSAIDs) have become a popular component of analgesia regimens, particularly in combination with narcotics. We questioned whether there might also be a place for their use in conjunction with regional anesthesia and whether there was a preferable route for NSAID administration.

Methods: Ilioinguinal and field blocks were performed preoperatively on seventy patients undergoing outpatient inguinal hernia repair.

The influence of high spinal anesthesia on sensitivity to midazolam sedation.

We tested whether a high spinal anesthesia may alter the susceptibility to the soporific effects of sedatives. Twenty ASA grade I and II women undergoing elective abdominal hysterectomy were randomly allocated into two groups. Patients in Group I were given a subarachnoid injection of 12 mg hyperbaric tetracaine and those patients who after 10 min had a sensory level of T4-6 (10 patients) were included in the study.

Manipulation under anesthesia combined with epidural steroid injection.

Objective: To demonstrate the benefit of cooperation between medical and chiropractic specialists and the usefulness of combining chiropractic and epidural injection in particular cases of back pain.

Clinical Features: Two cases of low back pain, both with disk protrusions and osteophytic changes, had no response to several weeks of alternate day (or more) chiropractic care. A third case of herniated intervertebral disks and low back pain had no improvement from treatment with epidural steroidal injection.