Knowledge Center

Category: Clinical

Survey For Study On The Safety Of Intraspinal Treatments (For Non-Physician Clinicians)

I would like to introduce Gail McGlothlen RN, certified in pain management, as she is conducting a very insightful study on the safety of intraspinal treatments. The focus of the study is to query non-physician clinicians who are involved in treating patients with implantable drug delivery devices (IDD). Dr. Lawrence Poree is a member of […]

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FDA Warning Of Medication Stored In Becton-Dickinson (BD) Syringes

In September, the FDA and BD issued health alert warning concerning the loss of potency of certain drugs that are stored in BD syringes. These notifications have cited reports of decreased potency of certain drugs when stored in certain lots of 1ml, 3ml, 5ml, 10ml, 20ml and 30ml BD syringes. BD stated in their letter […]

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Off-Label Drug Use Versus FDA-Approved Medications

In November 2012, Medtronic issued a warning letter regarding the use of off-label medications within its Synchromed II pain pump. This letter emphasized an increase of motor stalls within implantable infusion devices with unapproved drugs. This letter specifically stated, “The use of unapproved drugs can lead to intermittent or permanent pump motor stalls which may […]

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William’s Notations from NANS 2013: Dr. David Caraway, A Review

Dr. David Caraway was another intriguing presenter at the 2013 NANS meeting.  His discussion, On-label and Off-label Use of Intrathecal Medications and PACC Review, hit some very controversial issues over which many of my clients have expressed concerns. He started by reviewing the history of the PACC guidelines development process, going back to the year […]

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William’s Notations from NANS 2013: Dr. Elliott Krames, A Review

Another great 2013 NANS meeting presentation was by Dr. Elliott Krames on Using the S.A.F.E.  Principles for Patient Selection and IT Trialing Methods. Initially, Dr. Krames produced a set of guidelines for treating patients with chronic pain, known as KISS; Keep It Simple and Safe. Using the KISS guidelines, he developed an algorithm for treating […]

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William’s Notations from NANS 2013: Dr. Lawrence Poree, A Review

  I recently attended the North American Neuromodulation Society (NANS) Meeting 2013, in Las Vegas, Nevada, held at the Mandalay Bay Resort. It was another amazing conference and I have much to report. I was fortunate to attend the Intrathecal Pump Evaluation, Management and Refill Course on December 5th. This course had a fantastic lineup […]

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20th Annual Napa Pain Conference, Dr. Elliott Krames: A Review

I recently returned from the 20th Annual Napa Pain Conference where I was fortunate to attend and present at a pre-conference meeting entitled, “Intraspinal Therapies: Enhancing Clinical Practices and Improving Patient Safety.” The pre-conference was held for Allied Health Professionals directly involved with the care of chronic pain patients. Gail McGlothlen chaired this pre-conference, and […]

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20th Annual Napa Pain Conference: Kathy Clagg, RN, ONC: A Review

At the 20th Annual Napa Pain Conference pre-conference meeting, Kathy Clagg, RN, gave a fascinating presentation entitled, “Targeted Drug Delivery 1: Start Low and Go Slow.” Throughout her presentation, she gave a great body of information relating to treating chronic pain patients. Ms. Clagg began her career in 1991 and currently works with Dr. David […]

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20th Annual Napa Pain Conference, Dr. Lawrence Poree: A Review

Another intriguing presentation at the 20th Annual Napa Pain Conference pre-conference meeting was Dr. Lawrence Poree’s topic entitled, “Prevention, Assessment and Management of Granuloma.” He presented case studies of patients who had experienced granulomas and discussed their clinical symptoms, diagnoses and resolution. One very interesting study in particular was of patients receiving morphine sulfate in […]

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20th Annual Napa Pain Conference, Dr. Scott Fishman: A Review

On Friday, August 23, 2013, I attended the beginning of the 20th Annual Napa Pain Conference. It was great to see old faces and make new acquaintances. This conference has grown over the years, and the speakers this year were outstanding and information presented was very relevant to the treatment of chronic pain patients. I […]

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