Outpatient Surgery Magazine

Anesthesia Plus - February 2013 - Outpatient Surgery Magazine - Subscribe

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 31 of 159

OSE_1303_part1_Layout 1 2/7/13 4:10 PM Page 32 MEDICAL MALPRACTICE your being viewed as having made every reasonable prevention effort. OSM Mr. Landess (william.landess@palmettohealth.org) is the director of anesthesia for Palmetto Health Richland in Columbia, S.C. TAINTED STEROIDS: ABSCESSES AND ARACHNOIDITIS Compounding Victims Continue to Mount T he fungal meningitis epidemic appears to be waning, but now patients injected with tainted steroids from the now-shuttered New England Compounding Center (NECC) face 2 other scourges: painful abscesses around the injection site and a debilitating chronic pain disor- NOT OVER YET The CDC says tainted steroids are to blame for late-onset abscesses and arachnoiditis. der called arachnoiditis, a nerve inflammation that can cause intense pain, bladder problems and numbness. The CDC reports that many who were disease-free a month after their steroid injections — and presumably after the incubation period — are now developing abscesses that require long hospitalizations and often surgery. Additionally, the CDC says that some patients who have been treated for meningitis and released have returned to the hospital with abscesses at the injection site. Half of otherwise asymptomatic patients — yes, half — showed evidence of new or worsening localized spinal or paraspinal infections, including epidural abscess, phlegmon, arachnoiditis, discitis or vertebral osteomyelitis. Since the meningitis outbreak, 15 state boards of pharmacy now mandate that individual patient prescriptions must accompany every compounded medication. 3 2 — Stephanie Wasek O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | F E B R U A R Y 2013

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