Outpatient Surgery Magazine - Subscribers

Thumbs Up on Safety Scalpels - Outpatient Surgery Magazine - May 2019

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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2 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A Y 2 0 1 9 E very year, physicians perform millions of off-label epidural steroid injections (ESI) to treat neck and back pain — despite the risk of rare but serious and sometimes fatal neurological side effects and despite the fact that the Food and Drug Administration (FDA) has never approved corticosteroids for injec- tion into the epidural space. Off-label drug use isn't necessarily a breach of the standard of care. The FDA considers doctors who use steroids off-label "part of the Going Off-Label Can Cost You Big-Time $14.9 million for patient paralyzed by epidural corticosteroid injection. Medical Malpractice Jerene Stremick, BSN, RN, LNC • DANGERS OF EPIDURAL STEROIDS Bristol-Myers Squibb's Kenalog comes with a warning label against epidural use, but physicians routinely use it off-label for neck and back pain.

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