ABSTRACT
Brachial plexus blockade is a commonly used technique for providing surgical anesthesia for the upper extremity. Although various approaches have been described, the axillary approach is the safest and most frequently used. Most complications associated with axillary nerve block are related to local or systemic anesthetic toxicity, bleeding, infection, and nerve damage. A case of false aneurysm of the axillary artery following axillary nerve block is reported. The possible occurrence of this complication should be kept in mind to avoid permanent neurologic sequelae.
Subject(s)
Aneurysm/etiology , Axillary Artery , Brachial Plexus , Nerve Block/adverse effects , Aged , Female , HumansABSTRACT
Stereotactic neurosurgery is a procedure that usually requires monitored sedation or general anesthesia. The authors report a case in which stereotactic irrigation of a brain cyst was temporally associated with respiratory distress. Additionally, the stereotactic apparatus limits the anesthesiologist's access to the airway.
Subject(s)
Brain Neoplasms/surgery , Craniopharyngioma/surgery , Respiratory Insufficiency/etiology , Stereotaxic Techniques/adverse effects , Humans , Male , Middle Aged , Therapeutic IrrigationABSTRACT
Four steroids and one protease inhibitor were evaluated for their effects on 12-O-tetradecanoyl phorbol 13-acetate (TPA)-induced and Epstein-Barr virus-induced early antigens (EBV-EA) in Raji cells. Continuous treatment with dexamethasone, prednisolone, hydrocortisone and cortisone inhibited TPA-induced EBV-EA to varying degrees, but the protease inhibitor N-alpha-p-tosyl L-lysine chloromethyl ketone-HCl (TLCK) had no significant effect. None of the agents tested inhibited EBV- induced EA. In addition, the effect of the steroids was reversible since the removal of these agents resulted in recovery of the percentage of EBV-EA-positive cells in TPA-treated cultures. These results were in agreement with the in vivo experiments of other investigators, who demonstrated inhibition of tumor promotion with steroids. Since TLCK failed to inhibit TPA-induced EA, it is unlikely that induction of EA by TPA is the result of production of proteases.
