Goldilocks Anesthesia Published in #1 Plastic Surgery Journal

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Goldilocks Anesthesia just published the secret to preventing both postoperative nausea and vomiting (PONV) and postoperative pain. Dementia after anesthesia could be dramatically reduced by the widespread use of brain monitoring as well as reducing up to 30% of unnecessary anesthetic drugs given. 'Medicate the brain, measure it' was publicly proclaimed as a standard of care by Friedberg more than two years ago.

No one over 50 should have general anesthesia without a brain monitor. Americans must make this a non-negotiable demand.

Goldilocks Anesthesia just published the secret to preventing both postoperative nausea and vomiting (PONV) and postoperative pain in the April 2010 issue of ‘Plastic and Reconstructive Surgery,’ the undisputed number one journal in the field.

“Goldilocks anesthesia prevents the patient from feeling pain during surgery and does not give any drugs causing PONV, like IV narcotics or stinky gases,” says Dr. Barry Friedberg, prominent, board certified anesthesiologist, founder and president of the non-profit Goldilocks Anesthesia Foundation.

Goldilocks anesthesia relies on scientifically proven direct brain monitoring technology.

Without guidance by the patient’s brain response, 20th century anesthesia providers must routinely over medicate the patient short of causing death.

However, a recent publication points to one anesthesia death every day from anesthesia over medication.

“Death is not the worst outcome from excessive anesthesia,” says Friedberg. “Not waking up the same person the patient was before surgery is a far worse situation. Some call it ‘brain fog,’ others, dementia. Too many American families have seen loved ones suffer with this issue.”

Americans over the age of 50 are far more susceptible to the deleterious effects of routine anesthesia over-medication – postoperative cognitive disorder (POCD) as this dementia has been termed by the American Society of Anesthesiologists (ASA).

Without routine direct brain monitoring, anesthesiologists stuck in the 20th century mode of anesthesia instead rely on heart rate and blood pressure changes. This practice is now known to be notoriously inaccurate, resulting in more drugs being given for fear of giving too little.

Standard of 21st century anesthesia care relies on patients’ individual brain response to guide drug dosing,” says Friedberg. “That’s why I call it ‘Goldilocks.’ Drug dosing is always just the right amount, not too much or too little.”

Too much alcohol is not good for the brain (see AA). Repeated head trauma is not good for the brain (see NFL).

“Why would any sane person believe that too much anesthesia would be good for the brain and without the potential for dementia?” asks Friedberg. “Why hasn't direct brain monitoring, like BIS, been widely promoted?”

First, no one, physicians in general (see Semmelweis, the ‘wash the hands’ pioneer of Vienna), especially anesthesiologists, readily change.

Second, without concomitant EMG trending, BIS has limited ability for proactive useful anesthetic management.

Third, the BIS maker is restricted by FDA approval from informing users of the increased utility of their device using EMG as the secondary trace.

Fourth, widespread brain monitoring could reduce anesthetic drug sales by as much as 30%, severely impacting Big Pharma's ability to provide millions of support dollars to the ASA.

For all these reasons, the non-profit Goldilocks Anesthesia Foundation was created to educate Americans to protect their brains if they need to ‘go under’ for surgery.

“No one over 50 should have general anesthesia without a brain monitor,” Friedberg says. “Americans must make this a non-negotiable demand.”

Disclaimer: Neither Dr. Friedberg nor the Goldilocks Anesthesia Foundation receive financial support from brain monitor makers.

Source: Goldilocks Anesthesia Foundation

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