Navigation Links
Epidemic of Anesthesia Overdosing ... How Can You Avoid It?
Date:10/23/2007

CORONA DEL MAR, Calif., Oct. 23 /PRNewswire/ -- "Most patients tolerate their anesthetic experience despite the care they receive rather than because of it," claims Dr. Barry Friedberg, holder of the trademark "minimally invasive anesthesia (MIA)(R)." Anesthesiologists (and nurse anesthetists) have traditionally been taught to medicate patients on a per-kilogram of body weight to begin the patient's anesthesia. After the patient is asleep, subsequent medication doses are then adjusted primarily based upon changes in heart rate and blood pressure. However, the object of the anesthetic agents is to medicate the patient's BRAIN, not the heart rate and blood pressure. To ensure patients are actually asleep, the anesthesia provider was formerly obliged to over-medicate for fear of under-medicating. (N.B. "This common practice is informally known as the art of the controlled overdose," says Dr. Friedberg.) It is now possible to directly measure the brain's response to anesthetic agents.

(Photo: http://www.newscom.com/cgi-bin/prnh/20070803/FRIEDBERG )

Modern anesthetic agents are shorter acting, allowing patients to wake up faster. However, recent research points out the dangers of routinely giving excess anesthesia. At Duke, Monk showed higher one year postoperative death rates when patients were overmedicated as defined by bispectral index (BIS) values below 45 on a 0-100 scale. An inflammatory response to excessive anesthesia was suggested as the cause. At Emory, Sebel subsequently published a study confirming elevated levels of inflammatory markers (C-reactive protein) in patients that were overmedicated (BIS below 45) compared to those patients who were accurately medicated for general anesthesia (i.e. BIS 45-60).

It is not uncommon for relatives of elderly patients to observe that, in layman's terms, they are 'not quite the same' after their anesthesia as they were before surgery. This phenomenon is formally known as postoperative cognitive dysfunction (POCD). "Many believe POCD may also be a function of anesthetic overdose," states Dr. Friedberg.

"How can prospective patients avoid being routinely overdosed? By being sure the BIS monitor (Aspect Medical Systems, Inc., Norwood, MA) is used," asserts Dr. Friedberg.

The BIS is the first level of consciousness monitor to be FDA approved in 1996. Although several competitors exist in the marketplace, none has presented any studies demonstrating superiority to the BIS. Conversely, over 3,000 scientific papers attest to the BIS' utility.

Why have considerable numbers of anesthesia providers been reluctant to change to BIS monitoring? "Because measuring the brain's response to anesthetics challenges the deeply held belief system that heart rate and blood pressure are reliable guides to depth of anesthesia," opines Dr. Friedberg (N.B. Heart rate and blood pressure are unreliable guides.) Unfortunately, belief systems are not subject to rational discussion. Therefore, a FORCE FOR CHANGE must be created by greater PUBLIC awareness of the dangers of excessive anesthesia. "For maximum patient safety, BIS monitoring should be the standard of care," claims Dr. Friedberg.

Disclaimer: Dr. Friedberg is not employed by Aspect Medical Systems. He is neither a stockholder nor a paid consultant. The opinions expressed herein are his professional opinion based on 10 years experience with BIS monitoring for anesthesia and surgery.

Contact:

Barry L. Friedberg, M.D.

Cosmetic Surgery Anesthesia

Tel: (949) 233-8845

http://www.doctorfriedberg.com - a patient oriented, non-commercial web

site


'/>"/>
SOURCE Dr. Barry L. Friedberg
Copyright©2007 PR Newswire.
All rights reserved

Related medicine news :

1. Leptospirosis epidemic feared in mumbai - 12 killed
2. Undertaking the obesity epidemic
3. New genital gel could empower women against the AIDS epidemic
4. Diabetes could become an epidemic
5. Teens vitamin D deficiency an epidemic
6. The forgotten epidemic killing millions
7. WHO Issues Caution Against Bird Flu Epidemic
8. Ebola-like virus is on the way to cause epidemic in Angola
9. Obesity And Expanding Waistlines the next Epidemic in USA
10. Autism epidemic is a myth- says a new study
11. ‘No Epidemic Risk in Mumbai’ Assures Health Ministe
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... June 25, 2016 , ... Experts from ... at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes Convention Center ... care topics including advance care planning, healthcare costs and patient and family engagement. ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. Omkar Marathe ... from the David Geffen School of Medicine at UCLA. He trained in Internal Medicine ... his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Those who have ... these feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, as ... Michigan, has released tools for healthy coping following a traumatic event. , Trauma sufferers ...
(Date:6/24/2016)... San Francisco, CA (PRWEB) , ... June 24, ... ... at CitiDent, is now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has ... , self-ligating Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , ...
(Date:6/24/2016)... NY (PRWEB) , ... June 24, 2016 , ... ... Haute Living, is proud to recognize Dr. Barry M. Weintraub as a prominent ... “the most beautiful women in the world, and the most handsome men, look ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016  Collagen Matrix, Inc., ("Collagen Matrix") the ... of collagen and mineral based medical devices for ... Bill Messer has joined the company as ... the growing portfolio of oral surgery, neurosurgery, orthopaedic ... joins the Collagen Matrix executive team as an ...
(Date:6/24/2016)... -- The Academy of Managed Care Pharmacy (AMCP) today ... allow biopharmaceutical companies to more easily share health care ... coverage decisions, a move that addresses the growing need ... The recommendations address restrictions in the sharing of product ... a prohibition that hinders decision makers from accessing HCEI ...
(Date:6/24/2016)... --  Pulmatrix, Inc ., (NASDAQ: PULM ), ... today that it was added to the Russell Microcap ... set of U.S. and global equity indexes on June ... for Pulmatrix," said Chief Executive Officer Robert Clarke ... in developing drugs for crucial unmet medical needs, and ...
Breaking Medicine Technology: