Nov 21, 2019
Barry Friedberg is a Stanford-trained anesthesiologist who pioneered Propofol-Ketamine sedation anesthesia.
He added brain monitoring to his method and the rest is history.
His rates of postoperative nausea and vomiting are the lowest in the world.
He hasn't used opioids for surgery in over 30 years.
Dr Pelosi III sat down with this innovative pioneer to learn the story behind the method.
Friedberg’s Triad [4:15]
is brain, pain, abstain
is the analogy that requires explanation.
The EMG [7:00]
use is reduced 30 percent.
Ketamine [10:20] was a hard sell.
are not well measured by BIS
is low maintenance
of the surgeon is essential.
The myths [16:15]
under general is rare, but real.
Brain fog [21:00]
can be permanent rarely.
My free book [22:40]
is available via the Goldilocks website.
My superfans [24:00]
include Jan Paul Mulier from Brugge, Belgium.
50 consecutive patients [26:30]
given opioid-free anesthesia had no nausea and required no opioids afterwards.
A publisher [29:50]
asked me to write a textbook on cosmetic surgery anesthesia.
The military [30:20]
uses my techniques.
Not a single patient [35:25]
in over 6000 cases was hospitalized for nausea and vomiting.
My wife and I [37:00]
have both gone under this type of anesthesia.
Drug shortages [42:30]
might require substitution.
to address the Big Little Problem.
Only 0.6% [46.30]
of over 1200 patients had postoperative nausea and vomiting in my 1999 article.
Cosmetic practices [48:30]
don’t want to be embarrassed.
The standard rates [49:50]
of postoperative nausea and vomiting at the time were 10 to 40%.
do you break the ice?
Dr. Barry Friedberg can be found online at the following links: