Anesthesia for Cosmetic Surgery
General anesthetics cause a complete reversible loss of consciousness for a certain period of time. During this time period patients are not arousable by any type of external stimulus, including pain.
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Since 2001, Dr. Friedberg has been empowering patients to ask for PK anesthesia - a IV sedation technique for all cosmetic surgeries.
PK essentially eliminates the icky postoperative nausea and vomiting without extra medications. Postoperative pain is also essentially eliminated or treated easily with oral Tylenol. Awareness has never been an issue with PK.
Developed in 1992 and enhanced with a BIS brain monitor in 1997, PK uses the patient's individual brain response to guide drug dosing, so not too much and not too little but always just the right amount is given. That is why PK is sometimes called 'Goldilocks' anesthesia.
Chapter 1 of 'Anesthesia in Cosmetic Surgery' is available for free on Dr. Friedberg's web site - Tables 1-6 through 1-9 provide explicit instructions on how to do PK anesthesia and mistakes to avoid. |
2/4/2009 |
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While all cosmetic surgery can be performed under purely local anesthesia, most patients desire not to hear, feel or remember their surgery - a condition commonly associated with general anesthesia (GA).
A new form of iv sedation, pioneered by anesthesiologist Dr. Barry L. Friedberg, is called minimally invasive or 'Goldilocks' anesthesia that provides the desired benefits of GA without the associated, avoidable risks.
Minimally invasive or 'Goldilocks' anesthesia is suitable for all cosmetic surgery cases. All cosmetic cases are minimally invasive surgery because they take place outside the body cavities. Therefore, 'Goldilocks' anesthesia is minimally invasive anesthesia for minimally invasive surgery.
Although GA has become safer today than it was 20 years ago, the inherent risks of GA are simply not acceptable for elective cosmetic surgery patients.
'Goldilocks' anesthesia is safer and simpler with better recovery than GA.
Guided by the patient's brain activity, 'Goldilocks' anesthesia provides the correct amount of medication that is neither too much nor too little.
At the start of surgery, 'Goldilocks' anesthesia prevents the patient from experiencing the pain of the local anesthesia injection common to all cosmetic and dental surgery. Because the patient is asleep, the BIS monitor helps the surgeon know when to re-inject local anesthesia during surgery.
By eliminating both the before and during surgical sources of pain, 'Goldilocks' anesthesia allows patients to wake up without sufficient discomfort to require powerful narcotics (or opioids), like morphine, Demerol or fentanyl. |
12/25/2008 | |
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