Consumers and Plastic Surgeons Say Economy is Cutting into Cosmetic Procedures by ProQuest


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									     Study Results Indicate Brain Wave Monitors
     do not Prevent Anesthesia Awareness
             esearch presented at the Annual Meeting of the American               Patients who experience awareness may develop long-term psycho-

     R       Society of Anesthesiologists did not find that brain wave moni-
             tors are superior to traditional, readily available anesthesia
     monitoring methods for preventing long-term psychological symp-
                                                                               logical consequences including recurring nightmares, anxiety, and
                                                                               flashbacks. Some may even develop post-traumatic stress disorder.
                                                                                   Postoperative interviews were conducted with six of the patients
     toms related to the experience of anesthesia awareness.                   with awareness experiences between 18 months and two years after
         Researchers discussed sub-study findings of the B-Unaware trial,      their surgery. Four of the patients contacted reported lucid memories
     conducted at Washington University in St. Louis to determine              of the procedures consistent with their original reports, but did not
     whether a patient monitoring protocol using the BIS monitor was           report negative repercussions.
     more effective in preventing anesthesia awareness than a simple               Two patients reported having negative psychological impact to
     protocol based on routine measurement of exhaled anesthetic gas.          their daily lives as a result of their awareness experience. Both
         “Out of 2,000 patients involved in the B-Unaware trial, we found      (patients) were part of the BIS protocol during the B-Unaware trial
     that four patients experienced definite awareness and five patients       and reported symptoms included avoidance behavior, recurrent
     experienced possible awareness. Of those patients, six were part of       nightmares, social debility, and depression. Both patients have sought
     the BIS protocol, suggesting that the BIS protocol was not superior in    counseling to help cope with their symptoms.
     this study in preventing cases of awareness,” said Michael Avidan,            “The follow-up interviews conducted as a part of this sub-study
     MD, associate professor of anesthesiology and surgery at Washington       found that long-term psychological symptoms were not prevented
     University in St. Louis.                                                  by the BIS protocol,” Avidan concluded. “Similar to previous study
         While the BIS protocol did not prevent all cases of awareness,        findings, we found that the majority of anesthesia awareness episodes
     researchers hypothesized that the BIS monitor, which alerted anesthesia   did not have a negative long-term psychological or emotional impact
     practitioners with an audible alarm when the BIS number was above         for patients.” I
     the recommended upper bound of 60, would prevent prolonged                Source: American Society of Anesthesiologists
     awareness with possible resultant long-term psychological symptoms.

     Consumers and Plastic Surgeons Say Economy is
     Cutting into Cosmetic Procedures
     New medical data: Consumers look to minimally–invasive procedures
             he economic crisis is forcing many        pulse of potential patients and ASPS Member          appointment now compared to 30

     T       consumers to re-evaluate their cosmetic
             surgery plans, according to results of
     consumer and plastic surgeon polls released
                                                       Surgeons, and the results are in.”
                                                          In March, and then again in October,
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