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Interventional Pain Therapy (interventional + pain_therapy)
Selected AbstractsInterventional Pain Therapies: Complications, Preventive Strategies, and Risk-ManagementPAIN MEDICINE, Issue S1 2008B. Todd Sitzman MD No abstract is available for this article. [source] Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized ResponsePAIN MEDICINE, Issue S1 2008B. Todd Sitzman MD ABSTRACT Although a significant number of interventional pain therapies are performed in office and fluoroscopy suite settings, the incidence of adverse events associated with these procedures is unknown. To minimize patient morbidity and physician liability, the preparation for and response to such events should follow a standardized protocol. This article provides a detailed protocol for responding to adverse events associated with interventional pain procedures performed in private office or fluoroscopy suite settings. The purposes of this protocol are to ensure quality patient care during and after an adverse event, to promote a better understanding of staff responsibilities at those times, to decrease the likelihood that an adverse event will become life-threatening, to suggest an appropriate format for the documentation of such events, and to reduce the likelihood of the recurrence of adverse events from a similar cause. Adherence to this protocol may also mitigate professional liability. [source] Evidence-Based Medicine and Clinical Trials in Pain Practice and OrthopedicsPAIN PRACTICE, Issue 4 2005Ludger Gerdesmeyer MD Abstract: Medical practices should be based on scientific findings pursuant to the rules of evidence-based medicine. Quality standards for interventional pain therapy and orthopedic clinical studies have been lacking. As a result, the efficacy of many forms of therapy is insufficiently documented, making the level of evidence low. This article identifies common deficiencies in the conduct of clinical trials, as well as limitations in conducting randomized controlled studies. Recommendations for improvement are provided. The discussion provides the clinically active physician with interpretation aids for the evaluation of meta-analyses, supports personal evidence-based decisions, and reviews the most important principles for planning and conducting of experimental clinical studies. Current examples in the literature verify the implementation of these principles and present current findings in accordance with evidence-based medicine (EBM) criteria. In spite of an increasing emergence of EBM-based studies, we conclude that the number of well-designed, high quality, controlled studies conducted in accordance with the guidelines of Good Clinical Practice examining interventional pain therapy and orthopedic clinical studies remains unacceptably low. [source] | ||||||||||