Possibility and Risk of Medication Vial Coring in Interventional Spine Procedures

Ramin Kordi; Brian F White; David J Kennedy

doi:10.1016/j.pmrj.2016.09.003

Possibility and Risk of Medication Vial Coring in Interventional Spine Procedures

PM R. 2017 Mar;9(3):289-293. doi: 10.1016/j.pmrj.2016.09.003. Epub 2016 Sep 14.

Authors

Ramin Kordi¹, Brian F White², David J Kennedy³

Affiliations

¹ Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran; Department of Orthopaedics, Stanford University, Stanford Orthopedics, 450 Broadway St, Redwood City, CA 94063(∗). Electronic address: ramin_kordi@tums.ac.ir.
² Department of Rehabilitation and Regenerative Medicine, Bassett Medical Center, Columbia University College of Physicians and Surgeons, New York, NY(†).
³ Department of Orthopaedics, Stanford University, Stanford Orthopedics, Redwood City, CA(‡).

PMID: 27639650
DOI: 10.1016/j.pmrj.2016.09.003

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.

Publication types

Review

MeSH terms

Foreign Bodies / etiology*
Foreign Bodies / prevention & control*
Humans
Injections / adverse effects*
Needles / adverse effects*