International Journal of Obstetric Anesthesia
Volume 18, Issue 3 , Pages 249-250 , July 2009

Off-label use of medicines is bad medicine flying the flag of clinical freedom

    Proposer:
  • J.R. Sneyd

      Affiliations

    • Corresponding Author InformationCorrespondence to: J Robert Sneyd, Peninsula College of Medicine and Dentistry, The John Bull Building, Research Way, Tamar Science Park, Plymouth, PL6 8BU.

,Accepted 18 March 2009.

References 

  1. Eypasch E, Lefering R, Kum CK, Troidl H. Probability of adverse events that have not yet occurred: a statistical reminder. BMJ. 1995;311:619–620
  2. Maynard A. Translating evidence into practice: why is it so difficult?. Public Money & Management. 2007;27:251–256
  3. Howell CJ. Epidural versus non-epidural analgesia for pain relief in labour. Cochrane database of systematic reviews (Online). 2000.
  4. Parker M. False dichotomies: EBM, clinical freedom, and the art of medicine. J Med Ethics. 2005;31:23–30
  5. Hill D. Remifentanil patient-controlled analgesia should be routinely available for use in labour: Proposer. Int J Obstet Anesth. 2008;17:336–339
  6. Van de Velde M. Remifentanil patient-controlled analgesia should be routinely available for use in labour: Opposer. Int J Obstet Anesth. 2008;17:339–341
  7. http://emc.medicines.org.uk/document.aspx?documentId=14766 (accessed Date 2005).
  8. http://emc.medicines.org.uk/medicine/14337/XPIL/Ultiva+Injection/ (accessed Date 2008).
  9. http://emc.medicines.org.uk/medicine/8375/XPIL/Diprivan+1%25/ (accessed Date 2008).
  10. http://emc.medicines.org.uk/medicine/2275/SPC/Diprivan+1%25/ (accessed Date 2008).

PII: S0959-289X(09)00083-1

doi: 10.1016/j.ijoa.2009.03.008

International Journal of Obstetric Anesthesia
Volume 18, Issue 3 , Pages 249-250 , July 2009