Subject(s)
Cognition Disorders/drug therapy , Cognition Disorders/psychology , Continuous Positive Airway Pressure , Sleep Apnea, Obstructive/psychology , Sleep Apnea, Obstructive/therapy , Aged , Attention/physiology , Cognition Disorders/etiology , Female , Humans , Hypoxia/blood , Impulsive Behavior/psychology , Impulsive Behavior/therapy , Male , Memory, Short-Term/physiology , Middle Aged , Neuropsychological Tests , Oxyhemoglobins/analysis , Polysomnography , Problem Solving/physiology , Psychomotor Performance/physiology , Sleep Apnea, Obstructive/complications , Space Perception/physiology , Treatment Outcome , Verbal LearningABSTRACT
Subarachnoid block is a widely practiced anesthetic technique. With the availability of small-diameter needles and the rises in out-patient surgery, the number of procedures performed with subarachnoid block and short-term local anesthesia have increased. We report two cases of bilateral pain in the lower extremities appearing 20-24 h after intradural anesthesia with 2% hyperbaric lidocaine. We analyze the factors that might have triggered this complication and compare the two patients with 14 others described in the literature. Three points in common were found: the use of hyperbaric lidocaine, administration of the agent through small gauge needles and the performance of out-patient surgery.
Subject(s)
Anesthesia, Spinal/adverse effects , Anesthetics, Local/adverse effects , Leg , Lidocaine/adverse effects , Nerve Block/adverse effects , Pain/etiology , Adult , Female , Humans , Male , Middle Aged , Subarachnoid SpaceSubject(s)
Anesthesia , Lymphangioleiomyomatosis/complications , Adult , Anesthesia/methods , Female , Humans , Surgical Procedures, OperativeABSTRACT
Breast cancer screening has proved to be efficacious only in clinical trials or structured programs. However, little is known of its effectiveness as a regular practice. This study is an assessment of breast cancer screening in regular practice in a Spanish area of 350,000 inhabitants through analysis of existing sources of information. It is evident that this screening is insufficient, inefficient, very variable, nonspecific, and probably ineffective, although there is insufficient information to prove it. The immediate implementation of a well-structured and accredited screening program is essential to overcome the current limitations.
