SIS Guidance and Resource Updates (May 15, 2020)
Corticosteroid Injections


  • Consider the risks posed by ceasing anticoagulation for certain procedures since coronavirus 2 (SARS-CoV-2) may predispose patients to thrombotic disease, both in the venous and arterial circulations.

Pre-Visit COVID-19 Testing

  • For patients with suspected or confirmed COVID-19 infection, non-urgent interventional pain procedures should be postponed until it is confirmed by 2 negative SARS-CoV-2 tests, performed 24 hours apart, that they do not have COVID-19.
  • When adequate pre-visit COVID-19 testing capability is established, patients should be screened by laboratory testing before planned procedures.
  • Consider requiring pre-visit COVID-19 testing for high risk (aerosol generating) procedures.

Additional Resources Relative to Risk Mitigation Strategies

The CDC published two guidance documents this week relative to important risk mitigation strategies:

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Spine Intervention Society

formerly known as the
International Spine Intervention Society

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