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One major by-product of the aging baby-boom generation has been a surginginterest in cosmetic surgery. Outpatient surgery clinics have sprouted up indroves all over the United States and the world. The number of cosmeticprocedures performed in the US alone has increased by over 95% from theprevious year. Although procedures like facelifts and abdominoplasties(tummy-tuck) should be considered minimally invasive surgeries, the anestheticprotocols and regimens are often overly complex and unnecessarily toxic.
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Major complications involving anesthesia can range from severepostoperative nausea and vomiting (PONV) to postoperative pain and mortality.The mortality spectrum of things may be rare, but there have been many casesin which perfectly healthy cosmetic surgery patients require emergencyintervention due to a severe complication involving anesthesia.
Dr. Friedberg has developed BIS monitored propofol ketamine sedation, alsoknown as minimally invasive anesthesia (MIA), designed to maximize patientsafety by minimizing the degree to which patients need to be medicated tocreate the illusion of general anesthesia with the lesser trespass ofnon-narcotic sedation. "MIA eliminates PONV without the use of anti-nauseamedications while providing pre-emptive pain relief that eliminates the needfor postoperative narcotic medications (and their side effects)," says Dr.Friedberg.
General anesthesia sleep levels occur between 45-60 on a 0-100 scale. Thepatient doesn't hear, feel, or remember their surgery with general anesthesia.The same experience can be had with intravenous propofol at BIS between 60-75,a level Friedberg has incorporated as an integral part of MIA.
For greater patient safety, Dr. Friedberg deems BIS monitoring a standardof care, especially for cosmetic surgery.
Disclaimer: Dr. Friedberg is not employed by Aspect Medical Systems,makers of the BIS monitor. He is not a stockholder or a paid consultant. Theopinions expressed herein are his professional opinion based on 10 yearsexperience with BIS monitoring for cosmetic surgery.
http://www.doctorfriedberg.com - a patient oriented, non-commercial websiteContact: Barry L. Friedberg, M.D. Cosmetic Surgery Anesthesia Tel: (949) 233-8845
SOURCE Dr. Barry L. Friedberg
