Scalpel Weekly News

Week of: July 20, 2015

IN THE NEWS


NSAIDs May Cause Heart Attacks, Strokes; Stronger Label Warning

The FDA is strengthening an existing label warning that non-aspirin nonsteroidal anti-inflammatory drugs (NSAIDs) increase the chance of a heart attack or stroke. Based on a comprehensive review of new safety information, the FDA is requiring updates to the drug labels of all prescription NSAIDs. As is the case with current prescription NSAID labels, the Drug Facts labels of over-the-counter (OTC) non-aspirin NSAIDs already contain information on heart attack and stroke risk. The agency will also request updates to the OTC non-aspirin NSAID Drug Facts labels. Click title to continue reading...


 
MEDICAL ALERTS


FDA Approves New Drug to Treat Heart Failure

The FDA approved Entresto (sacubitril/valsartan) tablets for the treatment of heart failure. The drug has been shown to reduce the rate of cardiovascular death and hospitalization related to heart failure. Click title to continue reading...



Suture Delivery Device May Cause Serious Medical Complications

The FDA alerted health care providers and patients of reports of patient deaths and other serious adverse events associated with the use of the LARIAT Suture Delivery Device, and its associated devices to close the left atrial appendage, a pouch-like region of the left atrium in the heart, in patients with irregular heart rhythm (atrial fibrillation) to prevent stroke. Click title to continue reading...



Factors Behind Growing Heroin Epidemic; 120 Die Per Day From Overdose

According to a July 7, 2015 CDC Release, heroin use has increased across the United States among men and women, most age groups, and all income levels. The greatest increases have occurred in groups with historically lower rates of heroin use, including women and people with private insurance and higher incomes. In addition, nearly all people who use heroin also use multiple other substances, according to a new report from the CDC and the FDA. The report also finds the strongest risk factor for heroin use is a prescription opioid use disorder. Click title to continue reading...


  CASE ALERTS


Failure to Communicate Cancer Diagnosis; Expert Required on Standard of Care

A cardiologist planted a pacemaker in a man. The following day the cardiologist ordered an x-ray to check the positioning of the pacemaker leads and implantation complications. A second cardiologist reviewed the x-ray for complications and discharged the man from the hospital. A radiologist also reviewed the x-ray. In his report the radiologist noted the placement of the pacemaker leads and a potential nodule in the man’s lung. The radiologist recommended follow-up x-rays. Click title to continue reading...



Deep Vein Thrombosis Following Long Plane Flights Not Accidental Death

A man traveled extensively for work. On one work trip, he flew more than 15 hours from Los Angeles to Tokyo and shortly thereafter took three additional flights, totaling almost 13 hours, from Tokyo to several Australian cities. The man collapsed as he walked from his hotel to meet a colleague and was pronounced dead on arrival at a local hospital. An autopsy report attributed his death to deep vein thrombosis (DVT), which had triggered a pulmonary embolism (PE). Click title to continue reading...



External Peer Review Reports Not Discoverable

A woman underwent surgery to remove her gallbladder. The woman sued the hospital and the surgeon. The complaint alleged that the surgeon severed her common bile duct during the gallbladder removal surgery. The complaint alleged that the hospital was liable for the injuries caused by the surgeon and unnamed nurses and hospital personnel pursuant to theories of agency, apparent agency, and vicarious liability. The complaint also alleged that the hospital was directly liable for negligent hiring and non-delegable duty. Click title to continue reading...


FEATURE


Checklist: Anatomical Gift/Organ Donation

As a special feature to our Premium subscribers we have included this Feature containing a checklist of items a transplant donor may consider when making an inter vivos anatomical gift. Note that most states have specific requirements governing inter vivos anatomical gifts that must be complied with. Click title to continue reading...