Navigation Links
Safer, Simpler, Better & Cost Effective Cosmetic Surgery Anesthesia
Date:9/18/2007

CORONA DEL MAR, Calif., Sept. 18 /PRNewswire/ -- "SAFER, SIMPLER, BETTER & COST EFFECTIVE cosmetic surgery anesthesia is here today," says Dr. Barry L. Friedberg, developer of bispectral index (BIS) monitored propofol ketamine sedation, now trademarked as minimally invasive anesthesia (MIA)(R).

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

The fundamental difference between cosmetic surgery and other surgery is there is no medical reason (indication) to perform it aside from post- mastectomy reconstruction," states Dr. Friedberg, author and editor of Cambridge University Press' ground-breaking "Anesthesia in Cosmetic Surgery."

Without medical reason for cosmetic surgery, no avoidable anesthesia risks are acceptable.

All cosmetic procedures can be performed under purely local anesthesia. However, most patients prefer not to hear, feel or remember their cosmetic surgery, a state commonly associated with general anesthesia (GA). The use of the BIS monitor produces information from the brain, the anesthesiologist's target organ. BIS permits anesthesia providers to assign numerical values to levels of sedation/anesthesia on a scale of 0-100.

Safety:

The sleep portion of GA occurs at BIS 45-60. However, the patient can have the same experience with MIA at BIS 60-75 with 20-30% less drug in their body," claims Dr. Friedberg. Less drug means lesser trespass. Lesser trespass translates into greater safety.

This safety claim is supported by Dr. Ann Lofsky, the anesthesiologist board of director for The Doctors' Company, a medical liability insurer, at http://www.thedoctors.com/risk/specialty/anesthesiology/J4254.asp. Using Dr. Friedberg's MIA technique avoids the dreaded (and sometimes fatal) complication of blood clots to the lungs (pulmonary embolism). MIA contains no drugs that are triggers for fatal (but rare) malignant hyperthermia (MH). GA drugs are triggering agents for MH.

Simplicity:

Compared with general anesthesia that typically requires giving 12-15 medications, MIA only requires 2 medications. BIS monitors the first of the two medications, propofol, on the patient's brain. This knowledge enables the anesthesiologist to give custom tailored doses of propofol. Without this knowledge, the anesthesia provider is obliged to guess how much of the drug(s) to give. Clearly, measuring is better than guessing.

Better:

If propofol is given at BIS 60-75, ketamine can be given without historically reported side effects. Ketamine at BIS 60-75 prevents the patient from feeling the pain of the local anesthetic injection. This phenomenon is called pre-emptive analgesia.

Pre-emptive analgesia means Dr. Friedberg's patients have not required any narcotic medications for postoperative pain for the past ten years. By comparison, GA only prevents the patient from responding to the pain of the injection. Once the GA is turned off, the patient's brain has to deal with the pain signals it received while asleep. Post-operative pain with GA is commonly treated with narcotics. The side effects of narcotics include nausea and vomiting, decidedly intolerable especially for facelift and tummy tuck patients, in addition to depression of breathing, risk of inhaling stomach contents into the lungs (aspiration) and constipation.

Cost Effective:

Because MIA does not require an anesthesia machine and scavenging of exhaled gases, it is far less expensive than GA. Propofol is now available as a generic drug so there is no longer a cost advantage to GA.

The public must ask for SAFER, SIMPLER, BETTER & COST EFFECTIVE cosmetic surgery anesthesia for the surgical and anesthesia professions to change.

Disclaimer:

Dr. Friedberg is not employed by Aspect Medical Systems, makers of the BIS monitor. He is not a stockholder or a paid consultant. The opinions expressed herein are his professional opinion based on 10 years experience with BIS monitoring for cosmetic 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. Homeopathic preparation better than placebo in perennial allergic
2. Patient’s perception of health status helps in better recover
3. For better mood and energy!! Work-up in short span
4. Antifever drug betters stroke outcome
5. Prevention is better than cure
6. Better prostate cancer detection
7. A better way to measure cholesterol
8. Sponging Cattle betters spraying in eradicating Malaria
9. New Computerized Imaging Systems Help In Better Dental Treatment Planning
10. New therapy better at increasing bone density
11. Better Treatment for obesity
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... The International Association of ... of excellence for the field of eating disorders, announces the opening of early ... in Orlando, Florida at the Omni Resort at ChampionsGate. , The ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... Lori R. ... a member of ElderCounsel, a national organization of elder law and special needs planning ... laws and rules. It also provides a forum to network with elder law attorneys ...
(Date:10/13/2017)... ... October 13, 2017 , ... The Visiting Nurse Association ... Featuring a collection of specialty vendors and unique items from across the nation, this ... health and wellness services offered by the VNA. The boutique will be open ...
(Date:10/13/2017)... ... ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh, has released a ... books in the Holy Scriptures, Revelation. The Book of Revelation paints a picture of ... have tossed it off as mere rubbish, but Yisrayl Hawkins says that is because ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... “The Journey: ... faced every danger possible to save lost souls in the Philippines. “The Journey: From ... Carole is a dedicated teacher of the Bible. She has taught all ages and ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... , Sept. 27, 2017  DarioHealth Corp. (NASDAQ: DRIO), a leading global ... that its MyDario product is expected to appear on The Dr. Oz ... Dr. Oz Show airs in your area: http://www.doctoroz.com/page/where-watch-dr-oz-show ... The nine-time Emmy award-winning, The Dr. Oz Show kicked ... The segment features ...
(Date:9/23/2017)... 22, 2017 Janssen Biotech, Inc. (Janssen) announced ... from the U.S. Food and Drug Administration (FDA) for ... for the treatment of moderately to severely active rheumatoid ... data are needed to further evaluate the safety of ... RA. "We ...
(Date:9/19/2017)... Sept. 19, 2017 HistoSonics, Inc., a venture-backed medical device company developing a non-invasive, ... tissues, announced three leadership team developments today:   ... ... ... Veteran medical device executive Josh Stopek , PhD, ...
Breaking Medicine Technology: