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 (pu
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