Information for Physicians - About PK

To my fellow anesthesia and surgical colleagues I ask you,

“How difficult do we need to make essentially simple cases?”

All cosmetic surgery takes place on the body’s ‘wrapper,’ the extra-cavitary structures. Involves the initial injection of lidociane and epinephrine containing solutions can be performed safest with local anesthesia only but is the least favorite option for most patients, surgeons and support staffs.

General anesthesia (GA) is the most common anesthetic for cosmetic surgery.
GA exposes patients to the greatest number of lethal risks as well as unpleasant side effects.
PK (propofol ketamine) anesthesia with a brain activity monitor looks like a GA 99% of the time for the surgeon and the OR support staff. There is a quick wake up and postop discharge time.
With PK anesthesia, patients do not hear, feel or remember their surgery (like GA), BUT without the risks or side effects. No PONV (without expensive, minimally effective anti-emetics) and minimal postop pain.
Your time is valuable.
Wouldn't seeing new consults instead of dealing with postoperative pain and nausea and vomiting issues be a better use of your time? Wouldn’t your patients (their families and your staff) be happier, too?
     The difference between GA and PK is your willingness to stop for the 10 seconds of your               time to re-inject a few ccs of local anesthesia in the immediate area in which you were just              stimulating the patient.
Since 1992: PK anesthesia – no deaths, no pulmonary emboli, no aspiration, no hospitalizations.
General anesthesia cannot make that claim.
     High media profile cases with general anesthesia:1997, Judy Fernandez - death; 2007, Donde        West - death; 2008, Stephanie Kuleba - death; 2009, Tameka Foster - near death.
Every cosmetic case, including abdominoplasty with rectus sheath imbrication, has been successfully performed using PK anesthesia for many different surgeons without the need to convert to general anesthesia.
Propofol is generic. PK anesthesia is cost effective. Safety is not an issue, nor is simplicity. Reproducibility has not been an issue.
With so little asked of the surgeon and so much gained for the patient (and the people who care for the patient postoperatively) i.e. outcomes and satisfaction,
                              “How difficult do we need to make essentially simple cases?”
Prep, inject local, cut, dissect, hemostasis and close.
contains explicit ‘how to’ instructions for PK anesthesia, as well as errors to avoid
is avaialble free from this web site.

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