New Study Concludes: Postoperative Delirium Can be Avoided by Using a Brain Monitor
Date Published: Thu, 2014-12-18
Dr. Friedberg, a board certified anesthesiologist and author of "Getting Over Going Under: 5 Things You Must Know Before Anesthesia,” applauds the American Geriatrics Society guidelines to prevent postoperative delirium: “Brain monitoring is the best available technology to reduce or eliminate anesthesia brain fog after surgery and it needs to be more widely used as the study suggests. The vast majority of Americans are routinely over-medicated during surgery because their anesthesiologist is not measuring their brain.
New postop delirium guidelines from American College of Surgeons (ACS) & American Geriatric Society (AGS) echo public education message of Goldilocks Anesthesia Foundation:
"No major surgery under anesthesia without a brain monitor"
Anesthesiologists "may use processed electroencephalographic monitors of anesthetic depth during sedation or general anesthesia," with the reasoning that administering fewer or lower doses will reduce postoperative delirium compared with deeper sedation.
Re: propofol dose... Body weight is a standard 20th century method of 'guesstimating' propofol dose. Ultimately, it is still a guess.*
MEASURING the direct brain response with a brain monitor is the 21st century
Watch youtube 'Going under with Goldilocks anesthesia' to see how brain
monitoring eliminates too much or too little propofol given to achieve
numerically reproducible sedation levels.
Consider signing http://www.change.org/p/prospe...
*Read 'Getting Over Going Under, 5 things you MUST know before anesthesia'
Barry Friedberg, M.D. an Anesthesiologist is author of "Getting Over Going Under: 5 Things You Must Know Before Anesthesia.
Says Friedberg, “The vast majority of Americans are routinely over-medicated every day when getting anesthesia for surgery because their anesthesiologist is not measuring their brain. There are cases every day where families are trying to determine what happened to their loved one’s personality and cognitive skills after a surgery. Sadly some of these patients will never be the same. The key is to monitor brain during the surgical procedure.”
The public education message of the non-profit Goldilocks ...
Nov 11, 2013 - The public education message of the non-profit Goldilocks Anesthesia Foundation is simple:
"No major surgery under anesthesia without a brain monitor" Medical Malpractice: Cosmetic Surgeries and Anesthesia Dangers …
Hi Dr Friedberg.
I wrote you awhile ago with questions about my son and his surgery. I have a few more questions about his surgery. Which was yesterday.
I think I was lied too. I asked my son's anesthesiologist all the right questions because of you. Thank you! She even asked my son how I knew so much about anesthesia. LOL!
Here is what happened I asked if I could have the brain monitor and the propofol instead of the stinky gases. She said she could do that and that is wouldn't be a problem.
The problem is, I don't think she honored my wishes.
Anesthesia over medication, the natural consequence of failing to monitor the brain response, is as traumatic to the over 50 year old patient as head trauma is to the young athlete. Read: Anesthesia Brain Monitor Another Perfect 'Sleep' Number http://tinyurl.com/k4kqe5r