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Possibility and Risk of Medication Vial Coring in Interventional Spine Procedures Publisher Pubmed



Kordi R1 ; White BF2 ; Kennedy DJ3
Authors
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Authors Affiliations
  1. 1. Sports Medicine Research Center, Tehran University of Medical Sciences, Department of Orthopaedics, Stanford University, Stanford Orthopedics, 450 Broadway St, Redwood City, 94063, CA, United States
  2. 2. Department of Rehabilitation and Regenerative Medicine, Bassett Medical Center, Columbia University College of Physicians and Surgeons, New York, NY, United States
  3. 3. Department of Orthopaedics, Stanford University, Stanford Orthopedics, Redwood City, CA, United States

Source: PM and R Published:2017


Abstract

When a needle is inserted into the stopper of a medication vial, small pieces of the stopper could be “cored” inside the bore of the needle, consequently aspirated, and then injected into the body. Reported coring rates vary from 3.1% to 97%. This article reviews the literature surrounding this topic and covers the rate of coring, its risk factors, and particle size, as well as prevention techniques to maximize safety during interventional procedures. © 2017 American Academy of Physical Medicine and Rehabilitation