Happy days in warm Hawaii

While most of the country is freezing, my new bride and I made a return to the North Shore of Oahu for honeymoon 1.2 in balmy 80 degree weather.

We were here last month, but as luck would have it, Shelley was sick with that nasty coughing virus that's been going around. She is feeling better this trip but still recovering.

PONV - Peter Obviously Not Victorious, Apfel's Advice Unheeded

PONV - Peter Obviously Not Victorious, Apfel's Advice Unheeded


Glass’ upcoming editorial (1) appears to ignore sage advice from Apfel. (2) Avoid emetogenic anesthetics, i.e. inhalational anesthetics and opioids and embrace propofol ketamine paradigm. (3).


1.     Glass PSA: Postoperative nausea and vomiting: We don’t know everything yet. (editorial) Anes Analg 2010;2: 110.

How long do you think that the saturation of the NMDA receptors lasts? What about multiple intra-operative painful episodes?

These questions were generated by one of my list's recipients, Alan Cohen, a friend and thoughtful anesthesiologist colleague, who may have expressed a sentiment that many others, who either read my blog or receive my list, also had.

thoughts for the new year

It's obvious to all, if one wants to keep one's horses, close the barn door before they depart, not afterwards. It should be equally obvious for the issue of control of postoperative pain. Far better to prevent it from occurring than to treat it after it happens.

Why should anyone care about the 50 mg ketamine I received for my THR in addition to my SAB with BIS monitored IV propofol sedation?

Every anesthesiologist with whom I shared my story asked the same question of me: 

People Magazine cites propofol AND ketamine in separate articles in same issue

No sooner than I sent an excited e-mail to my long time friend and colleague in Florida, Anthony 'Tony' Kirkpatrick,MD, PhD, about me appearing on pg. 54 of the August 10th, 2009 issue of People magazine then he replied with, that's amazing, I am in the SAME issue, on page 70. 

I was cited as an anesthesia expert about propofol and brain monitoring adding to the safety of propofol administration as it related to the Michael Jackson story.

People Magazine cites anesthesia expert

Page 54 of the August 10th issue of People Magazine cited Dr. Barry L. Friedberg as an anesthesia expert who asserts that propofol is extremely safe as long as you use a brain monitor.

In keeping with the philosophy of the Goldilocks Anesthesia Foundation (which does not yet have its own blog), readers please take note that no specific maker of brain monitor was advocated.

An amazing week

Wednesday, July 22nd, I did a one hour radio interview show with Pat Benjamin on WNJC 1360 AM which streamed live on www.wnjc1360.com as well. Cool.

Champion of Anesthesia Patient Safety in Cosmetic Surgery to be interviewed this Wednesday evening

Hear Dr. Barry Friedberg, Champion of Anesthesia Patient Safety,


on Pat Benjamin's Radio Show, "The Independent Voice"

this Wednesday, July 22, at 4:00 pm Pacific Daylight Time/ 7:00 pm Eastern Daylight Time

            on WNJC 1360 AM

& streaming live on the Internet at www.wnjc1360.com

Anesthesia for Cosmetic Surgery: the 17 year 'overnight' success story of PK anesthesia continues

When it rains, it pours.
No, not Morton salt...PK anesthesia's 17 year 'overnight' success story.

Last week was a banner week.

I submitted, within the requested deadline, my chapter, Anesthesia for Cosmetic Surgery in the Post Bariatric Patient, for Strauch B, Herman CK: 'The Encyclopedia of Body Sculpting in the Massive Weight Loss Patient.' Thieme Medical Publishers, New York, due out this year!

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