[abstract] OFF LABEL USE OF HBO2T: HISTORICAL PERSPECTIVE AND CURRENT CHALLENGE.

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[abstract] OFF LABEL USE OF HBO2T: HISTORICAL PERSPECTIVE AND CURRENT CHALLENGE.

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Title: [abstract] OFF LABEL USE OF HBO2T: HISTORICAL PERSPECTIVE AND CURRENT CHALLENGE.
Author: Perdrizet, GA
Abstract: BACKGROUND: The off-label of medications and medical devices by health care practitioners has a short and evolving medical history. While the ethics and rules governing the off-label use of mediations are commonly misunderstood by the practitioner, this option is considered an important method by which medical science and practice advances. The off-label use of HBO2T poses both common and unique problems related to off-label usage. Clinicians practicing hyperbaric medicine will be approached and challenged by patients and their families for access to off-label use of this therapy. A prior understanding of the off-label use issues as they relate to the practice of HBO2T is essential if the clinician is to successfully give guidance to patients and enable legitimate expansion of this evolving therapy. MATERIALS AND METHODS: A brief historical review of the ethical principles and practical issues around the off-label of use of medical therapies will be presented as a basis for the logical extension into the practice of hyperbaric medicine. A distinction between legal and illegal practices will be outlined. Boundaries between clinical care and research will be drawn. Practical guidelines for the busy practitioner will be presented for discussion. Considerations for the off-label treatment of multiple sclerosis, complex regional pain syndromes, and chronic refractory bacterial prostatitis will be used as examples. CONCLUSIONS: There are clearly delineated guidelines for the off-label use of HBO2T. Practitioners of hyperbaric medicine must be clear on the role off-label use plays in the practice of hyperbaric medicine to maximize benefits to the patient and profession as a whole.
Description: Abstract of the Undersea and Hyperbaric Medical Society, Inc. Annual Scientific Meeting held June 14-16, 2007. Ritz-Carlton Kapalua Maui, Hawaii (http:www.uhms.org)
URI: http://archive.rubicon-foundation.org/5163
Date: 2007

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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