Scalpel Weekly News

Week of: March 26, 2018

IN THE NEWS


FDA Rule on Lowering Nicotine in Combustible Cigarettes

On March 16, 2018, the FDA issued an advance notice of proposed rulemaking (ANPRM) to obtain information for consideration in developing a tobacco product standard to set the maximum nicotine level for cigarettes. Because tobacco-related harms ultimately result from addiction to the nicotine in tobacco products, causing repeated use and exposure to toxicants, the FDA is considering setting the maximum nicotine level for cigarettes to reduce the level of nicotine. Click title to continue reading...


 
MEDICAL ALERTS


Nationwide Alka-Seltzer Recall

On March 15, 2018, Bayer recalled Alka-Seltzer Plus packages because the ingredients on the front sticker may not match the actual product in the carton. Click title to continue reading...



Adverse Events from Compounded Drugs for Injection

On March 16, 2018, laboratory analysis conducted by the FDA revealed that United Pharmacy’s compounded glutamine, arginine, and carnitine (GAC) 10/100/200 mg/mL product for injection had a high pH and the glutamine degraded before the beyond-use date (BUD) of six months specified on the product label. Click title to continue reading...



Increase in Rate of Acute Kidney Injury Hospitalizations

On March 16, 2018, the CDC published a report that found that, between 2000 and 2014, rates of acute kidney injury hospitalizations increased by 139 percent among adults with diagnosed diabetes and by 230 percent among adults without diabetes. Click title to continue reading...


  CASE ALERTS


Nicked Vein during Robotic Hysterectomy; Expert Issue

A woman underwent a robotic laparoscopic total hysterectomy at an outpatient surgery clinic. During the procedure surgical implements perforated the woman’s vein causing massive hemorrhaging. The gynecologist who performed the laparoscopic total hysterectomy called for a general surgery consultation. Click title to continue reading...



Reliability of Expert Testimony on Pain Pump Destruction of Cartilage

A man underwent arthroscopic knee surgery. During the procedure the orthopedic surgeon inserted a pain pump in the man’s knee. Anesthesia (called bupivacaine) from the pump managed the man’s pain effectively following the surgery until the pump was removed. At that point, the man’s pain increased dramatically. Click title to continue reading...



Jury Instruction on Malpractice Statutory Damages Cap

A man underwent a colonoscopy. During the procedure, the man was administered Propofol, a prescription injectable drug used to induce or maintain anesthesia. After the procedure, the man fell in the hospital twice. One week later, the man reported to his physician that the man had lost the senses of taste and smell. Click title to continue reading...


FEATURE


Checklist: Injunction to Stop Continuation of Life Support

As a special feature for our Premium subscribers we have included this checklist of evidence that may be necessary to pursue injunctive relief based on an advance health care directive. In this illustrative situation, a woman, designated as health care proxy in her father’s advance health care directive, petitioned the court for injunctive relief based on the terms of the father’s advance directive. Click title to continue reading...