Navigation Links
American Society of Anesthesiologists (ASA) - Myths About 'Never Ending Pursuit of Patient Safety and Satisfaction' Debunked
Date:3/11/2009

PK anesthesia denied Level I validation for Postoperative Nausea and Vomiting (PONV)

CORONA DEL MAR, Calif., March 11 /PRNewswire/ -- Pulse oximeters became available in 1983, making each patient's oxygen status known on a beat-by-beat basis. Not until 1990, did the American Society of Anesthesiologists (ASA) say that all patients should have this monitor. No articles on this critical safety subject appear in the ASA Newsletter on their web site between 1983 and 1990.

Action: In 1983, Dr. Barry Friedberg insisted his hospital administrator purchase pulse oximeters for every anesthesia location in his southern California hospital. Friedberg had no financial interest in the oximeter company.

The first of the new of brain activity monitors was FDA approved in 1996. Prior to this monitor, anesthesiologists were forced to give more anesthesia than necessary for fear of giving too little. With this monitor, anesthesiologists can avoid this practice and give only that amount which is necessary.

Action: In 1997, Friedberg was the first Orange County anesthesiologist to begin routinely monitoring his patients with a brain activity monitor. Again, Friedberg had no financial interest the brain monitor company.

As recently as 2006, evidence that the over-medicating style of practice elevated inflammatory markers and was associated with postoperative cognitive dysfunction (POCD). Numbers-wise, POCD is a far bigger potential public health problem than that of anesthesia awareness. Yet, only primarily because of the potential public reaction to 'Awake' the movie, did the ASA move to create www.awaredb.org.

Action: Missed the 'forest' for the 'trees.'

A 1999 scientifically validated, Stanford university study showed patient satisfaction was highest when postoperative vomiting did not happen.

Propofol ketamine (PK) anesthesia was developed in 1992 by Friedberg. PK was enhanced by the addition of a brain activity monitor in 1997. In 1999, the lowest PONV rate of 0.5% was published in a high-risk group of patients without the use of any anti-vomiting drugs. With 43,000 members, the ASA web site has no patient testimonial page.

Action: One doctor - http://www.doctorfriedberg.com/testimonials3.htm

In 2004, a Level I study was designed by one of the foremost internationally recognized names in postoperative nausea and vomiting (PONV). When presented with the means (and funding) to validate PK anesthesia as a way to provide the 'never ending pursuit of patient ...satisfaction' by eliminating PONV, seven different universities (all ASA affiliates) declined the opportunity.

Let the public decide.

Do actions speak louder than words?

For more information about PK anesthesia: www.drfriedberg.com


'/>"/>
SOURCE Dr. Barry Friedberg
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Limited resources, unlimited needs: Americans should ration health care, says MSU ethicist
2. American Dental Association Launches Evidence-Based Dentistry Web Site
3. Journal of American College of Surgeons finds lung transplantation should be used in older patients
4. American Kidney Fund Warns of Kidney Disease Risk Factors During Kidney Awareness Month
5. SecureWorks Partners With ETEK International to Provide Security Services to the South American and Latin American Markets
6. American Red Cross of Greater New York Launches New Effort to Recruit 10,000 Disaster Volunteers
7. American Association for Cancer Research hosts 100th Annual Meeting 2009
8. EMRConsultant.com Supports the American Recovery and Reinvestment Act of 2009
9. Americans United for Life: Obama Administration Stem Cell Policy an Anti-Life Waste of Tax Dollars
10. The American Heart Association and Macys Join Forces to Drive Diversity in Medicine
11. American Chemical Societys Weekly PressPac -- March 4, 2009
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/8/2016)... ... 2016 , ... With the increasing demand for dental implants, the National Association ... to inform dentists and patients about the safety issues related to dental restorations. According ... the U.S. is projected to reach $6.4 billion in 2018 with more than 30 ...
(Date:12/8/2016)... ... December 08, 2016 , ... SunView ... customers and employees that are both engaging and easy to use. Coming off ... the software company revealed today its plans to roll out new AI-powered self-service ...
(Date:12/8/2016)... ... 08, 2016 , ... STATEN ISLAND, N.Y., Nov. 24, 2016 ... the highest standards of trauma, maternity, cancer and chronic obstructive pulmonary disease (COPD) ... Dr. Daniel Messina. , Among the recognitions, the American College of Surgeons' (ACS) ...
(Date:12/8/2016)... ... December 08, 2016 , ... Today’s patients are ... this in mind, SIGVARIS has created a new line of anti-embolism stockings to ... and provide the benefits of graduated compression when transitioning from recovery to early ...
(Date:12/8/2016)... ... December 08, 2016 , ... Dickinson Insurance ... offices headquartered in Little Rock, has initiated a charity drive to provide support ... Foundation to End Senior Hunger, Arkansas ranks first in senior hunger statewide, third ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)... 8, 2016   TriNetX , the health ... Hospital signed a membership agreement to join ... of new cures. The TriNetX network ... million patients globally, biopharmaceutical companies and contract research ... protocol design, site selection, patient recruitment, and collaborative ...
(Date:12/8/2016)... Pa. , Dec. 8, 2016  Pennsylvania ... Secretary of Drug and Alcohol Programs Gary ... and insomnia medications, known as benzodiazepines, developed with ... "Benzodiazepines are medications that are frequently prescribed ... when they are used with opioid pain medications, ...
(Date:12/8/2016)...  A new study by a pair of Geisinger ... therapy to treat chronic pain is not only ineffective, ... consequences, including death. Palliative care physicians ... , M.D., authored the study which provides a review ... study was published in the December 2016 edition of ...
Breaking Medicine Technology: