Re: FDA letter in regard to terbutaline as a tocolytic

From: Michael J. Wolpmann, M.D. (elvis@llano.net)
Tue Dec 30 22:33:45 1997


At Tue, 30 Dec 1997, Luis Sanchez-Ramos wrote: >
>At Tue, 30 Dec 1997, Dr Eberhard W Lisse wrote:
>>
>>In message , Luis Sanchez-Ramos writes:
>>[...]
>>
>>> So most recently we have been notified that MgSO4 infusion as a
>>> tocolytic can lead to increased perinatal mortality and that we should
>>> not be using terbutaline, especially via the infusion pump.
>>
>>This is called evidence based medicine :-)-O
>>
>>el

>I do not totally agree. It may be the first step towards evidence based
>medicine. The small trial from Chicago which was stopped after an
>interim analysis will not answer the question, it will lead to larger
>trials. As for terbutaline via SQ pump, only one randomized trial
>exists (nB patients): randomized to SQ terb (n) SQ placebo (n)
>PO terb (n). This is hardly evidence based medicine!
>
>L. Sanchez-Ramos

I think Dr. Lisse was being facetious...lighten up Luis, I think you are going into labor over this preterm labor thread.

--
Michael

Michael J. Wolpmann, M.D., FACOG

"Chew a little Juicy Fruit, it's good for the soul."

Jimmy Buffett





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:26:06 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.