Scalpel Weekly News

Week of: October 19, 2015

IN THE NEWS


Acetaminophen Recalled; Mislabeling of Incorrect Strength

Medline Industries, Inc. (Medline) announced that it will initiate a voluntary nationwide recall of lot # 45810 of Acetaminophen tablets, 500mg, uncoated compressed tablets to the consumer level. The Acetaminophen 500mg, Tab 100/BT (OTC20101) has been found to be mislabeled displaying “Acetaminophen 325mg” (OTC10101) instead of “Acetaminophen 500mg.” Click title to continue reading...


 
MEDICAL ALERTS


FDA Approves Broad Test for Fast Pathogen Detection in Brain Fluid

The FDA has allowed marketing of the first cerebrospinal fluid (CSF) nucleic acid-based test for simultaneous detection of multiple pathogens that can cause central nervous system infections. Click title to continue reading...



FDA Warns of Low Leaflet Motion in Heart Valve Replacements

The FDA is aware of recent reports regarding reduced leaflet motion in some bioprosthetic aortic valves, including both surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) devices. Importantly, most cases of reduced leaflet motion were discovered by advanced imaging studies in patients without symptoms of abnormal bioprosthetic valve function. Further, these studies have shown that in valves with reduced motion of one or more individual leaflets, there was acceptable forward blood flow through the valve opening without evidence of stenosis. Click title to continue reading...



Most Hospitals Do Not Sufficiently Support Breastfeeding

Hospital support for breastfeeding has improved since 2007, according to the latest CDC Vital Signs report released October 6, 2015. The percentage of U.S. hospitals using a majority of the Ten Steps to Successful Breastfeeding, the global standard for hospital care to support breastfeeding, increased from approximately 29 percent in 2007 to 54 percent in 2013, a nearly two-fold increase over six years. Improved hospital care could increase rates of breastfeeding nationwide and contribute to healthier children. Click title to continue reading...


  CASE ALERTS


Failure to Treat Post-Cataract Surgery Infection-Blindness; Causation Expert

A man underwent an elective procedure to remove a cataract in his left eye. Within twenty-four hours of surgery, the man’s left eye showed signs of infection. The doctor who performed the procedure diagnosed the man with endophthalmitis. The doctor did not refer the man to a retinologist for treatment. Within forty-eight hours of surgery, the man was permanently blind in his left eye. Click title to continue reading...



Subdural Hematoma Following Vascular Surgery; Physician’s Motion Denied

A 67-year-old woman underwent a carotid endarterectomy (CEA), a procedure to remove build up from the carotid artery walls. The morning of the surgery the woman received a cervical block and the procedure began at 7:44 a.m. At 8:00 a.m., the woman’s blood pressure was recorded at 200/98, and the vascular surgeon clamped her carotid artery at 8:08 a.m. At 9:05 a.m., the woman received blood pressure medication, which lowered her blood pressure to 180/112, but it rose again to 190/80 by 9:45 a.m. During the CEA, the vascular surgeon determined that the woman’s artery blockage was more extensive than expected, and requested that the woman be fully anesthetized for the remainder of the surgery. Click title to continue reading...



Delayed Compartment Syndrome Diagnosis After Leg Fracture; Evidence

A man sustained a comminuted tibial plateau fracture while playing basketball. A comminuted fracture occurs when the bone is broken into more than two fragments. A tibial plateau fracture occurs at the top of the shin bone, and involves the cartilage surface of the knee joint. At approximately 10 p.m. that evening, he was taken to the emergency room (ER), where he was treated and released. The man returned at approximately 7:30 a.m. the following morning complaining of severe pain in his left leg. An orthopedic surgeon admitted the man to the hospital for observation. Click title to continue reading...


FEATURE


Physician Motion-Sterility Action

As a special feature to our Premium subscribers we have included this feature containing a Motion for Summary Judgment by a physician and the physician’s practice group in an action for malpractice, lack of informed consent, vicarious liability, and negligent hiring and retention and supervision involving a colonoscopy after which the plaintiff-patient contracted hepatitis C. Click title to continue reading..